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Contact Information

GREGG BROFFMAN, MD
120 GARDENVILLE PKWY
WEST SENECA, NY14224
 Phone: 716-668-3600
 Fax: 716-565-4223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GREGG BROFFMAN · (Male)

NPI Number 1366494973
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 131752
  • NY Other 000500324010 BCBS
  • NY Other 10495518 CAQH
  • NY Other 10520422 CAQH
  • NY Other 050216000044 FIDELIS
  • NY Other 050216000049 FIDELIS
  • NY Other 000000089397 GHI
  • NY Other P00201738 MEDICARE RAILROAD
  • NY Other 159628DL PREFERRED CARE
  • NY Other 00010021101 UNIVERA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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