Healthcare Provider Details

I. General information

NPI: 1730694209
Provider Name (Legal Business Name): BRIAN A. ZELASKO, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 TRANSIT RD STE 135
ELMA NY
14059-9032
US

IV. Provider business mailing address

2701 TRANSIT RD STE 135
ELMA NY
14059-9032
US

V. Phone/Fax

Practice location:
  • Phone: 716-677-5525
  • Fax:
Mailing address:
  • Phone: 716-677-5525
  • Fax: 716-462-4687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number011544-1
License Number StateNY

VIII. Authorized Official

Name: DR. BRIAN A ZELASKO
Title or Position: PRESIDENT
Credential: DC
Phone: 716-677-5525