Provider Demographics
NPI:1841219433
Name:TREGER, ROBERT D (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:D
Last Name:TREGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUFFALO VETERANS ADMINISTRATION MEDICAL CENTER
Mailing Address - Street 2:3495 BAILEY AVENUE
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215
Mailing Address - Country:US
Mailing Address - Phone:716-862-8662
Mailing Address - Fax:
Practice Address - Street 1:BUFFALO VETERANS ADMINISTRATION MEDICAL CENTER
Practice Address - Street 2:3495 BAILEY AVENUE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-862-8662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist