Provider Demographics
NPI:1992326698
Name:KROK, CATHERINE (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:KROK
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 1:25 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3861
Mailing Address - Country:US
Mailing Address - Phone:716-626-0378
Mailing Address - Fax:
Practice Address - Street 1:3140 SHERIDAN DR STE 140
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1900
Practice Address - Country:US
Practice Address - Phone:716-240-9365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2021-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013374-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor