Provider Demographics
NPI:1447428016
Name:BUFFALO-NIAGARA PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:BUFFALO-NIAGARA PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KROLEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:716-282-0025
Mailing Address - Street 1:180 PARK CLUB LN STE 225A
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5260
Mailing Address - Country:US
Mailing Address - Phone:716-282-0025
Mailing Address - Fax:716-282-2730
Practice Address - Street 1:180 PARK CLUB LN STE 225A
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5260
Practice Address - Country:US
Practice Address - Phone:716-282-0025
Practice Address - Fax:716-282-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0669Medicare PIN