Doctor Name: | JENNIFER MARIE GODLEWSKI |
NPI Number: | 1568567899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C., RPA-C |
License Number: | X011328-1 |
Business Practice Address: | 792 N Main St Ste 100b North Syracuse, NY - 132121661 |
Business Phone Number: | 3154584623 |
Business Fax Number: | |
Mailing Address: | 208 Stoney Dr, SYRACUSE |
State: | NY |
Postal Code: | 132192230 |
Phone Number: | 3153807917 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X011328-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |