Provider Demographics
NPI:1184195489
Name:WINIARZ, ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:WINIARZ
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 1:7 W 36TH ST
Mailing Address - Street 2:STE 402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7911
Mailing Address - Country:US
Mailing Address - Phone:646-478-8700
Mailing Address - Fax:
Practice Address - Street 1:7 W 36TH ST
Practice Address - Street 2:STE 402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7911
Practice Address - Country:US
Practice Address - Phone:646-478-8700
Practice Address - Fax:646-476-6645
Is Sole Proprietor?:No
Enumeration Date:2018-12-12
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor