Individual provider · Type 1 NPI
Elizabeth Marie Moden, DC
Chiropractor · Buffalo, NY
NPI number
1669018065
Active
Practice location
3685 Harlem Rd Ste 3
Buffalo, NY 14215-2046
Mailing address
4561 Lewis Dr
Hamburg, NY 14075-5428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 013302 (NY) |
Chiropractor: 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.
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About NPI 1669018065
Elizabeth Marie Moden, DC's National Provider Identifier is 1669018065, issued on Nov 20, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Buffalo, NY. The record was last updated on Nov 20, 2019.