Provider Demographics
NPI:1043318850
Name:PINSKY, RICHARD ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ERIC
Last Name:PINSKY
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 1:1995 POST RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5723
Mailing Address - Country:US
Mailing Address - Phone:203-259-1555
Mailing Address - Fax:203-259-7319
Practice Address - Street 1:2000 POST RD STE 203
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5730
Practice Address - Country:US
Practice Address - Phone:203-259-1555
Practice Address - Fax:203-254-2417
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT683111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050000683CT06OtherBC/BS
CT050000683CT06OtherBC/BS
CTD400036392Medicare PIN
CTT23306Medicare UPIN