Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 012759 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | 70-012759 | NY |
NPI | 1104386838 |
---|---|
Provider Name | Michael Bilinski |
First Address | Orchard Park, NY 14127-1209 |
Second Address | Orchard Park, NY 14127-1209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2019 |
Last Update Date | 20/03/2019 |