Provider Demographics
NPI:1164584843
Name:SLOMINSKI, TIMOTHY (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:SLOMINSKI
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 1:40 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2119
Mailing Address - Country:US
Mailing Address - Phone:914-232-4200
Mailing Address - Fax:914-232-7192
Practice Address - Street 1:40 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2119
Practice Address - Country:US
Practice Address - Phone:914-232-4200
Practice Address - Fax:914-232-7192
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005653-1111N00000X
CT000858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP405322OtherOXFORD PIN
NY7166961OtherCIGNA PIN
NY931845OtherACN GROUP PIN
NY2700138OtherAETNA PIN
NY71498OtherASHN PIN
NY5800154OtherGHI PIN
NYNY05653OtherLANDMARK PIN
NY2700138OtherAETNA PIN
NYP405322OtherOXFORD PIN
NYX37031Medicare PIN