Provider Demographics
NPI:1972311595
Name:HULLINGS, GRACIE MAYE (DC)
Entity type:Individual
Prefix:DR
First Name:GRACIE
Middle Name:MAYE
Last Name:HULLINGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SHEPPARD ST UPPR
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-1021
Mailing Address - Country:US
Mailing Address - Phone:585-953-5920
Mailing Address - Fax:
Practice Address - Street 1:142 BEMIS ST
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1503
Practice Address - Country:US
Practice Address - Phone:585-394-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor