Provider Demographics
NPI:1497131718
Name:BUFFALO, CINDY (RRT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:BUFFALO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7260 SEA CLIFF VILLAS UNIT 72
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2723
Mailing Address - Country:US
Mailing Address - Phone:951-355-5275
Mailing Address - Fax:
Practice Address - Street 1:7260 SEA CLIFF VILLAS UNIT 72
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2723
Practice Address - Country:US
Practice Address - Phone:951-355-5275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA234562279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care