Buffalo Family Chiropractic Wellness, P.C.

Chiropractor in Buffalo, NY. Organization (NPI-2).

NPI number1124338074

StatusActive

Last updated in NPPESJun 10, 2015

Details

NPI: 1124338074
Entity type: Organization (NPI-2)
Legal business name: Buffalo Family Chiropractic Wellness, P.C.
Organization subpart: No
Enumeration date: Oct 13, 2010
Last updated: Jun 10, 2015

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
111N00000X	Chiropractor	x0117321	NY	Yes

Practice location

369 Delaware Ave
Buffalo, NY 14202-1601

Phone 716-854-1563 · Fax 716-854-1567

Mailing address

369 Delaware Ave
Buffalo, NY 14202-1601

Phone 716-854-1563 · Fax 716-854-1567

Authorized official

Kathleen Henneberger
Chiropractor/President
7168541563

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