National Provider Identifier
Shannon Lee Bonczyk, D.C.
Shannon Lee Bonczyk, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Le Roy, NY and a listed phone number of (585) 813-5157.
Profile Overview
- NPI
- 1043653652
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- April 12, 2013
- Last Updated
- April 26, 2024
Practice Location
- 7133 W Main RD Ste 1
- Le Roy, NY 14482-9380
Phone: (585) 813-5157
Mailing Address
- 7133 W Main RD
- Le Roy, NY 14482-9380
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1043653652
- Entity Type
- Individual
- Last Name
- Bonczyk
- First Name
- Shannon
- Middle Name
- Lee
- Name Prefix
- Dr.
- Credential
- D.C.
- Provider Other Last Name
- Wright
- Provider Other First Name
- Shannon
- Provider Other Middle Name
- Lee
- Provider Other Credential Text
- DC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 7133 W Main RD
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-9380
- Mailing Country
- US
- Mailing Phone
- (585) 639-4652
- Mailing Fax
- (585) 510-4527
- Practice Street Address
- 7133 W Main RD Ste 1
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-9380
- Practice Country
- US
- Practice Phone
- (585) 813-5157
- Practice Fax
- (585) 510-4527
- Enumeration Date
- April 12, 2013
- Last Updated
- April 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)