Provider Demographics
NPI:1548383128
Name:DUDZIK CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:DUDZIK CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUDZIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-634-6272
Mailing Address - Street 1:338 HARRIS HILL RD STE 111
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7470
Mailing Address - Country:US
Mailing Address - Phone:716-634-6272
Mailing Address - Fax:716-634-6273
Practice Address - Street 1:338 HARRIS HILL RD STE 111
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7470
Practice Address - Country:US
Practice Address - Phone:716-634-6272
Practice Address - Fax:716-634-6273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty