Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 014964 | NY |
NPI | 1548387889 |
---|---|
Provider Name | Ms. Deborah Louise King-Frisby |
First Address | Batavia, NY 14020-3621 |
Second Address | Williamsville, NY 14221-6800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |