Provider Demographics
NPI:1629356498
Name:BIRSKY, GREGORY G (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:G
Last Name:BIRSKY
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 1:551 POST RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-3631
Mailing Address - Country:US
Mailing Address - Phone:203-655-8828
Mailing Address - Fax:203-655-8830
Practice Address - Street 1:551 POST RD
Practice Address - Street 2:SUITE B
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3631
Practice Address - Country:US
Practice Address - Phone:203-655-8828
Practice Address - Fax:203-655-8830
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor