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Contact Information

716 PHYSICAL THERAPY, PLLC
4931 LAKE SHORE RD STE 300
HAMBURG, NY14075-5662
 Phone: 716-560-3290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for 716 PHYSICAL THERAPY, PLLC

NPI Number 1770098634
LBN Legal business name 716 PHYSICAL THERAPY, PLLC
Authorized official ANTHONY BOERGERS - (OWNER/PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2017
Last updated 12/13/2017 - About 8 years ago
Identifiers
NY License # 036600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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