| NPI | 1710200100 |
|---|---|
| Doing Business As | GENESIS CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | D. JORDAN CONRAD Owner 716-882-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0114531) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2019-12-04 |