Provider Demographics
NPI:1275531410
Name:SZUREK, PATRICK JUDE (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JUDE
Last Name:SZUREK
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 1:188 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2529
Mailing Address - Country:US
Mailing Address - Phone:518-581-9100
Mailing Address - Fax:518-581-1707
Practice Address - Street 1:188 LAKE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2529
Practice Address - Country:US
Practice Address - Phone:518-581-9100
Practice Address - Fax:518-581-1707
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010401-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U90166Medicare UPIN
NYRA2387Medicare ID - Type Unspecified