Eric Timothy Stefanowicz, D.C.

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

012609 Issued in NY

Practice address

320 Porter Ave
Buffalo, NY 14201-1032

Phone

(315) 569-1281

NPI assigned

Dec 5, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1386042448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PORTER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011032",
            "telephone_number": "315-569-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PORTER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011032",
            "telephone_number": "315-569-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOWICZ",
        "first_name": "ERIC",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012609",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "012609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Danielle Steenberg, NP
• Steven Allen Steer II, M.D.
• Ranae Stefaniak, NP
• Samantha Jade Stefaniak, MHC-P
• Barbara Stefanick, MD
• Peggy Lynn Stefanski, ANP-BC
• Michele Ann Stefanucci, LMSW
• Kyla Steffan, LPN
• Kelsey M Steffen, FNP-C
• Rebecca S Steffen, LCSWR

• Radiology Chiropractor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Radiology Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.