Provider Demographics
NPI:1376544023
Name:BARTKOWIAK, DENNIS J (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:J
Last Name:BARTKOWIAK
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 1:2126 NIAGARA FALLS BLVD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-4700
Mailing Address - Country:US
Mailing Address - Phone:716-743-0014
Mailing Address - Fax:716-743-0015
Practice Address - Street 1:2126 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-4700
Practice Address - Country:US
Practice Address - Phone:716-743-0014
Practice Address - Fax:716-743-0015
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC07317-3WOtherNYS WORKERS COMP ID
NY16144154201OtherPRISM HEALTH NETWORKS
NYC07317-3WOtherNYS WORKERS COMP ID
NYU42391Medicare UPIN