Provider Demographics
NPI:1952680738
Name:RAJKOWSKI, BARTLOMIEJ (DC)
Entity Type:Individual
Prefix:
First Name:BARTLOMIEJ
Middle Name:
Last Name:RAJKOWSKI
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 1:134 GREENPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2603
Mailing Address - Country:US
Mailing Address - Phone:718-383-0028
Mailing Address - Fax:718-383-0031
Practice Address - Street 1:134 GREENPOINT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2603
Practice Address - Country:US
Practice Address - Phone:718-383-0028
Practice Address - Fax:718-383-0031
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011749-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor