Provider Demographics
NPI:1902871007
Name:BUFFINGTON, BRETT C (DC)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:C
Last Name:BUFFINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ELMIRA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:14903
Mailing Address - Country:US
Mailing Address - Phone:607-733-0528
Mailing Address - Fax:607-562-7601
Practice Address - Street 1:211 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:ELMIRA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:14903
Practice Address - Country:US
Practice Address - Phone:607-733-0528
Practice Address - Fax:607-562-7601
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY54639BMedicare ID - Type Unspecified
E46759Medicare UPIN