Provider Demographics
NPI:1356682850
Name:REDLINSKI CHIROPRACTIC
Entity Type:Organization
Organization Name:REDLINSKI CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:REDLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-681-8488
Mailing Address - Street 1:5300 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2026
Mailing Address - Country:US
Mailing Address - Phone:716-681-8488
Mailing Address - Fax:716-651-9342
Practice Address - Street 1:5300 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-2026
Practice Address - Country:US
Practice Address - Phone:716-681-8488
Practice Address - Fax:716-651-9342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty