Provider Demographics
NPI:1982808754
Name:ROIZER, WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ROIZER
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 1:250 W 57TH ST
Mailing Address - Street 2:SUITE 930
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10107-0001
Mailing Address - Country:US
Mailing Address - Phone:212-258-2221
Mailing Address - Fax:212-258-2447
Practice Address - Street 1:250 W 57TH ST
Practice Address - Street 2:SUITE 930
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107-0016
Practice Address - Country:US
Practice Address - Phone:212-258-2221
Practice Address - Fax:212-258-2447
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010365-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
X05A11Medicare PIN