Provider Demographics
NPI:1477636348
Name:SIRAKI, GUY ERNEST (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:ERNEST
Last Name:SIRAKI
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MARGGRAFF COURT
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649
Mailing Address - Country:US
Mailing Address - Phone:201-967-8666
Mailing Address - Fax:201-967-9037
Practice Address - Street 1:4 MARGGRAFF COURT
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649
Practice Address - Country:US
Practice Address - Phone:201-967-8666
Practice Address - Fax:201-967-9037
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor