Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X002988-1 | NY |
NPI | 1780880872 |
---|---|
Provider Name | Dr. James Leo Neary |
First Address | Rochester, NY 14624-4930 |
Second Address | Rochester, NY 14624-4930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 08/07/2007 |