Provider Demographics
NPI:1649887019
Name:BUFFALO CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:BUFFALO CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ADYMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-892-8811
Mailing Address - Street 1:1002 E LOVEJOY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-1033
Mailing Address - Country:US
Mailing Address - Phone:716-892-8811
Mailing Address - Fax:716-892-3888
Practice Address - Street 1:1002 E LOVEJOY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14206-1033
Practice Address - Country:US
Practice Address - Phone:716-892-8811
Practice Address - Fax:716-892-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty