Provider Demographics
NPI:1871674937
Name:WSZOLEK, MICHAEL JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:WSZOLEK
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 1:401 MCLEAN AVE
Mailing Address - Street 2:ALL FAMILY CHIROPRACTIC
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705
Mailing Address - Country:US
Mailing Address - Phone:914-375-0050
Mailing Address - Fax:914-375-3601
Practice Address - Street 1:401 MCLEAN AVE
Practice Address - Street 2:ALL FAMILY CHIROPRACTIC
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705
Practice Address - Country:US
Practice Address - Phone:914-375-0050
Practice Address - Fax:914-375-3601
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3228899OtherAETNA
NYP2572634OtherOXFORD
NY2104491OtherUNITED HEALTHCARE
NYX5E521OtherEMPIRE BC/BS
NY3930390OtherCIGNA
NY5898125OtherGHI
NY618355OtherACN
NYC09861-8WOtherWORKER'S COMP
NYP2572634OtherOXFORD
NYXJW271Medicare ID - Type UnspecifiedGROUP ID
NYXJW271Medicare ID - Type UnspecifiedGROUP ID