Provider Demographics
NPI:1144382557
Name:TRZYBINSKI, IRENE DONNA (DC)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:DONNA
Last Name:TRZYBINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6394 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-9554
Mailing Address - Country:US
Mailing Address - Phone:716-651-7013
Mailing Address - Fax:716-651-7014
Practice Address - Street 1:6394 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-9554
Practice Address - Country:US
Practice Address - Phone:716-651-7013
Practice Address - Fax:716-651-7014
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000228038001OtherBLUE CROSS BLUE SHIELD
NYBA0355Medicare ID - Type Unspecified
NYRA4860Medicare ID - Type Unspecified