| NPI | 1780730721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G. JIVIDEN President Owner 585-652-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x0077641) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |