Provider Demographics
NPI:1407178478
Name:UUKSULAINEN, ERIK ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ANDREW
Last Name:UUKSULAINEN
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 1:1560 ROUTE 376
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6149
Mailing Address - Country:US
Mailing Address - Phone:315-263-7454
Mailing Address - Fax:
Practice Address - Street 1:146 CENTRAL PARK W
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6297
Practice Address - Country:US
Practice Address - Phone:212-877-1711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor