Provider Demographics
NPI:1194787374
Name:ZIARKOWSKI, RICHARD E (DC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:ZIARKOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-677-2969
Mailing Address - Fax:716-674-2969
Practice Address - Street 1:1900 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3332
Practice Address - Country:US
Practice Address - Phone:716-677-2969
Practice Address - Fax:716-674-2964
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX9226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8811635OtherINDEPENDENT HEALTH
NYCO9226-4WOtherWORKERS COMPENSATION
NY8811635OtherINDEPENDENT HEALTH
NYU74317Medicare UPIN