# BUFFALO FAMILY CHIROPRACTIC WELLNESS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124338074
- **Authorized official:** KATHLEEN HENNEBERGER D.C. (CHIROPRACTOR/PRESIDENT)
- **Authorized official phone:** (716) 854-1563

## Contact information

- **Practice address:** 369 DELAWARE AVE, BUFFALO, NY 14202-1601
- **Practice address phone:** (716) 854-1563
- **Practice address fax:** (716) 854-1567
- **Mailing address:** 369 DELAWARE AVE, BUFFALO, NY 14202-1601
- **Mailing address phone:** (716) 854-1563
- **Mailing address fax:** (716) 854-1567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0117321 | NY | Yes |

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 06/10/2015
