Provider Demographics
NPI:1265432702
Name:REDLINSKI, DAMIAN DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:DAMIAN
Middle Name:DANIEL
Last Name:REDLINSKI
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 1:4253 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3144
Mailing Address - Country:US
Mailing Address - Phone:716-675-0860
Mailing Address - Fax:716-675-5834
Practice Address - Street 1:4253 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3144
Practice Address - Country:US
Practice Address - Phone:716-675-0860
Practice Address - Fax:716-675-5834
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002101-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor