Provider Demographics
NPI:1992700686
Name:BLISKO, CHRISTOPHER JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:BLISKO
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 1:305 TITUSVILLE RD
Mailing Address - Street 2:STE 1
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2917
Mailing Address - Country:US
Mailing Address - Phone:845-471-7850
Mailing Address - Fax:845-471-1022
Practice Address - Street 1:305 TITUSVILLE RD
Practice Address - Street 2:STE 1
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2917
Practice Address - Country:US
Practice Address - Phone:845-471-7850
Practice Address - Fax:845-471-1022
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX6P341OtherEMPIRE BC/BS
NYX29871Medicare ID - Type Unspecified
NYT53168Medicare UPIN