Provider Demographics
NPI:1811986730
Name:KIRCHMYER, JEFFREY DAVID (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:DAVID
Last Name:KIRCHMYER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:STE 116
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-674-9600
Mailing Address - Fax:716-674-9700
Practice Address - Street 1:1900 RIDGE RD
Practice Address - Street 2:STE 116
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3332
Practice Address - Country:US
Practice Address - Phone:716-674-9600
Practice Address - Fax:716-674-9700
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024373-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBCBSOther000626887003
NY00027049601OtherUNIVERA NUMBER
NY9390497OtherINDEPENDENT HEALTH
NYBCBSOther000626887003