Matthew J Buffan, DC

Individual provider Active NPI Rehabilitation Chiropractor · Pittsford, NY

NPI 1679808489 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1679808489
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
011867 (NY)
Practice address
121 Sullys TRL Ste 7
Pittsford, NY 14534-4570
Phone
(585) 678-1362
Fax
(585) 419-7048
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
011867NYMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Spine & Sports Chiropractic, PLLC Current
since Jun 20, 2010
Accepting new patients

Locations

1695 Empire Blvd
Webster, NY 14580
Phone (585) 678-1362

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 011867 NY Yes

Addresses

Primary practice location

121 Sullys TRL Ste 7
Pittsford, NY 14534-4570

Mailing address

121 Sullys TRL Ste 7
Pittsford, NY 14534-4570
Phone (585) 678-1362

Other providers in Pittsford, NY

All providers in Pittsford, NY · Rehabilitation Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.