Provider Demographics
NPI:1033395371
Name:PATRICK J. SZUREK, PLLC
Entity Type:Organization
Organization Name:PATRICK J. SZUREK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:SZUREK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-581-9100
Mailing Address - Street 1:195 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1009
Mailing Address - Country:US
Mailing Address - Phone:518-581-9100
Mailing Address - Fax:518-581-1707
Practice Address - Street 1:195 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1009
Practice Address - Country:US
Practice Address - Phone:518-581-9100
Practice Address - Fax:518-581-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0209Medicare PIN
NYU90166Medicare UPIN