Provider Demographics
NPI:1699432542
Name:BIALECKI FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:BIALECKI FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:BIALECKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-240-9365
Mailing Address - Street 1:3140 SHERIDAN DR STE 140
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1900
Mailing Address - Country:US
Mailing Address - Phone:716-240-9365
Mailing Address - Fax:716-240-9368
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:716-240-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-25
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty