Provider Demographics
NPI:1710014188
Name:GUZINSKI, PETER J (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
Last Name:GUZINSKI
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 1:345 DICK RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1849
Mailing Address - Country:US
Mailing Address - Phone:716-681-3333
Mailing Address - Fax:716-681-3037
Practice Address - Street 1:345 DICK RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1849
Practice Address - Country:US
Practice Address - Phone:716-681-3333
Practice Address - Fax:716-681-3037
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000224481001OtherBLUE CROSS BLUE SHIELD
NYCO8200-0OtherNYS WORKERS COMP
NY10205OtherPRISM
NYU62607Medicare UPIN
NY000224481001OtherBLUE CROSS BLUE SHIELD