Provider Demographics
NPI:1013271675
Name:BARBARA BLISKO, DC, PLLC
Entity type:Organization
Organization Name:BARBARA BLISKO, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLISKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-758-8861
Mailing Address - Street 1:7259 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1618
Mailing Address - Country:US
Mailing Address - Phone:845-758-8861
Mailing Address - Fax:845-758-6617
Practice Address - Street 1:7259 S BROADWAY
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1618
Practice Address - Country:US
Practice Address - Phone:845-758-8861
Practice Address - Fax:845-758-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0047611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty