Provider Demographics
NPI:1124258512
Name:DR. SUSAN J SCHLIFF CHIROPRACTOR PC
Entity type:Organization
Organization Name:DR. SUSAN J SCHLIFF CHIROPRACTOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-654-6670
Mailing Address - Street 1:500 HELENDALE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-3170
Mailing Address - Country:US
Mailing Address - Phone:585-654-6567
Mailing Address - Fax:585-654-6567
Practice Address - Street 1:500 HELENDALE RD STE 260
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-3170
Practice Address - Country:US
Practice Address - Phone:585-654-6567
Practice Address - Fax:585-654-6567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007089-1305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10931-BOtherMEDICARE ID
NY39256Medicare UPIN