Provider Demographics
NPI:1821164484
Name:REDLINSKI, MARLENE JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:JEAN
Last Name:REDLINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2026
Mailing Address - Country:US
Mailing Address - Phone:716-681-8488
Mailing Address - Fax:716-651-9342
Practice Address - Street 1:5300 BROADWAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-2026
Practice Address - Country:US
Practice Address - Phone:716-681-8488
Practice Address - Fax:716-651-9342
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0028661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
084271Medicare ID - Type Unspecified