Provider Demographics
NPI:1548347917
Name:BIALEK, TAMMY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:LYNN
Last Name:BIALEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4567
Mailing Address - Country:US
Mailing Address - Phone:716-839-1800
Mailing Address - Fax:716-839-1888
Practice Address - Street 1:4575 MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4567
Practice Address - Country:US
Practice Address - Phone:716-839-1800
Practice Address - Fax:716-839-1888
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB6839Medicare PIN
IL210855Medicare ID - Type UnspecifiedMEDICARE GROUP #
ILK14324Medicare PIN
ILV03595Medicare UPIN