Barbara Blisko, DC, PLLC
Organization Active NPI Chiropractor · Red Hook, NY
NPI 1013271675 · NPPES record last updated Jul 8, 2015
Key facts
- NPI
- 1013271675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- X0047611 (NY)
- Legal business name
- BARBARA BLISKO, DC, PLLC
- Practice address
- 7259 S Broadway
Red Hook, NY 12571-1618 - Phone
- (845) 758-8861
- Fax
- (845) 758-6617
- NPI assigned
- Jun 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Barbara Blisko, DC
- Title
- Owner/Chiropractor
- Phone
- (845) 758-8861
Practitioners 3
-
Barbara E Blisko, D.C.
-
Teresa A Ackerly, L.M.T.
-
Mark Goldhirsch, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120809000034 | NY | Part B Supplier - Clinic/Group Practice | 0749436665 |
Receives reassigned benefits from 1 practitioner Practice locations: Red Hook, NY |
National Provider Directory
Locations
7259 S Broadway
Red Hook, NY 12571
Phone (845) 303-3486
17 Glen Pond Dr
Ste 2
Red Hook, NY 12571
Phone (845) 758-8861
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X0047611 | NY | Yes |
Addresses
Primary practice location
7259 S Broadway
Red Hook, NY 12571-1618
Mailing address
7259 S Broadway
Red Hook, NY 12571-1618
Phone (845) 758-8861
Other providers in Red Hook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.