Provider Demographics
NPI:1851384812
Name:STRNATKA, TIMOTHY JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOHN
Last Name:STRNATKA
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 1:1 KATTELVILLE RD,
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901
Mailing Address - Country:US
Mailing Address - Phone:607-648-3682
Mailing Address - Fax:607-648-9310
Practice Address - Street 1:1 KATTELVILLE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-1250
Practice Address - Country:US
Practice Address - Phone:607-648-3682
Practice Address - Fax:607-648-9310
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010607-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3582644OtherAETNA
NYC10607-2BOtherWORK COMP
NY000161386OtherEXCELLUS BC/BS
NYU93693Medicare UPIN
RA6144Medicare PIN