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1900 Ridge Rd Ste 116, West Seneca, NY 14224-3332 | |
| (716) 674-9600 | |
| (716) 674-9700 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1900 Ridge Rd Ste 116, West Seneca, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306925151 | NPI | - | NPPES |
| 00030802801 | Other | NY | UNIVERA PAYEE ID# |
| 03931660 | Medicaid | NY | |
| GRP513280001 | Other | NY | BCBS PAYEE ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 024373-1 (New York) | Primary |
| Provider Name | Jeffrey D Kirchmyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811986730 PECOS PAC ID: 6608816905 Enrollment ID: I20050505000919 |
| Provider Name | Anthony T Goode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326037946 PECOS PAC ID: 1658311550 Enrollment ID: I20050510001045 |
| Provider Name | Tetyana Burysh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295384469 PECOS PAC ID: 6800125832 Enrollment ID: I20190917000453 |
| Mailing Address | Practice Location Address |
|---|---|
1900 Ridge Rd Ste 116, West Seneca, NY 14224-3332 Ph: (716) 674-9600 | 1900 Ridge Rd Ste 116, West Seneca, NY 14224-3332 Ph: (716) 674-9600 |
Brian Murray, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Union Rd, West Seneca, NY 14224 Phone: 716-656-8600 Fax: 716-656-1560 | |
Gabrielle E Burkard, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2100 Union Rd, West Seneca, NY 14224 Phone: 716-656-8600 | |
Joseph Michael Banach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Suburban Court, West Seneca, NY 14224 Phone: 716-913-0064 | |
Lorri Ann Chiaramonte, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Orchard Park Rd Ste C, West Seneca, NY 14224 Phone: 716-677-5022 | |
Lynette Marie Coffelt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2987 Seneca St, West Seneca, NY 14224 Phone: 716-828-0500 | |
Mr. Richard Joseph Wieand, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Center Rd, West Seneca, NY 14224 Phone: 716-674-1509 Fax: 716-674-1787 | |
Allison Biondolillo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 Union Rd, West Seneca, NY 14224 Phone: 716-656-8600 Fax: 716-656-1560 |