Provider Demographics
NPI:1598801219
Name:POKORSKI, BRIAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:A
Last Name:POKORSKI
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 1:4796 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4020
Mailing Address - Country:US
Mailing Address - Phone:716-635-9742
Mailing Address - Fax:716-635-9744
Practice Address - Street 1:4796 MAIN ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:NY
Practice Address - Zip Code:14226-4020
Practice Address - Country:US
Practice Address - Phone:716-635-9742
Practice Address - Fax:716-635-9744
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-009962-1111NN0400X, 111NT0100X
NYX-009962-14111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurology
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered111NT0100XChiropractic ProvidersChiropractorThermography
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1052Medicare ID - Type Unspecified