DR. GEORGE ANDREW LISJAK (NPI# 1134301039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134301039 |
| Entity Type | Individual |
| Full Name | DR. GEORGE ANDREW LISJAK |
| Credential | D.C. |
| Practice Address |
15 South Water St Gowanda NY 14070 |
| Mailing Address |
15 S Water St Gowanda NY 14070-1415 |
| Practice Telephone | 7165326000 |
| Practice Fax Number | 7165326000 |
| Mailing Telephone | 7165326000 |
| Mailing Fax Number | 7165326000 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIR007522 | GA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | Y3888 | NY | Chiropractic Providers |
| Street Address |
15 SOUTH WATER ST |
| City | GOWANDA |
| State | NY |
| Zip Code | 14070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184074791 | Ann Marie Cobo | Licensed Practical Nurse | 14703 Aldrich St, Gowanda, NY 14070 | 2016-06-14 |
| 1538419502 | Brooks - Tlc Hospital System Inc | Family Medicine | 34 Commercial St, Gowanda, NY 14070 | 2012-09-17 |
| 1265717136 | Jennifer Siragusa | Registered Nurse | 84 North Chapel St, Gowanda, NY 14070 | 2011-10-11 |
| 1952558298 | Jennifer Jane Kohn | Speech-Language Pathologist | 3499 Foster Road, Gowanda, NY 14070 | 2008-08-19 |
| 1780733113 | Suneil C Ninan | Chiropractor | 18 East Main Street, Gowanda Chiropractic, Gowanda, NY 14070 | 2007-01-08 |
| 1073589008 | John B Mcalevey | Psychiatry & Neurology | 1438 Taylor Hollow Road, Gowanda, NY 14070 | 2006-02-28 |
| 1588657043 | Gnh LLC | Skilled Nursing Facility | 100 Miller St, Gowanda, NY 14070 | 2005-08-30 |
| 1831495126 | Briana J Postle | Social Worker | 10674 Prospect St, Gowanda, NY 14070 | 2011-02-03 |
| 1972733632 | Sarah Ayers | Physician Assistant | 100 Miller St, Gowanda, NY 14070 | 2009-07-15 |
| 1649345349 | Wang Ki Kim | Psychiatry & Neurology | 100 Memorial Drive, Gowanda, NY 14070 | 2006-11-21 |
| Find all providers in zip 14070 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780733113 | Suneil C Ninan | Chiropractor | 18 East Main Street, Gowanda Chiropractic, Gowanda, NY 14070 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.