Doctor Name: | DR. MICHALENE ANN ELLIOTT |
NPI Number: | 1184611279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | X00085433B |
Business Practice Address: | 2364 Lyell Ave Lyell Howard Commons Rochester, NY - 146065738 |
Business Phone Number: | 5854295100 |
Business Fax Number: | 5854295101 |
Mailing Address: | 2364 Lyell Ave, ROCHESTER |
State: | NY |
Postal Code: | 146065738 |
Phone Number: | 5854295100 |
Fax Number: | 5854295101 |
NPI Enumeration Date: | 10/04/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X00085433B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |