Provider Demographics
NPI:1932225067
Name:WILLIAM Z POLSKY DC PC
Entity Type:Organization
Organization Name:WILLIAM Z POLSKY DC PC
Other - Org Name:NEW BRITAIN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ZACHARY
Authorized Official - Last Name:POLSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-340-2797
Mailing Address - Street 1:904 TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5182
Mailing Address - Country:US
Mailing Address - Phone:215-340-2797
Mailing Address - Fax:215-340-2231
Practice Address - Street 1:904 TOWN CTR
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-5182
Practice Address - Country:US
Practice Address - Phone:215-340-2797
Practice Address - Fax:215-340-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001687L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT28327Medicare UPIN
PA084757Medicare ID - Type UnspecifiedMEDICARE ID#