| NPI | 1407960743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLBY M SHORES Chiropractor 585-544-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x009575) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NY X009968) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |