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Organization
KIRCHMYER & GOODE PHYSICAL THERAPISTS PC
Active
Organization
KIRCHMYER & GOODE PHYSICAL THERAPISTS PC
Active
Other names
ProActive Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY KIRCHMYER PT (OWNER)
(716) 674-9600
Entity
Organization
Contact information
Practice address
1900 RIDGE RD STE 116, WEST SENECA, NY 14224-3332
(716) 674-9600
(716) 674-9700
Mailing address
1900 RIDGE RD STE 116, WEST SENECA, NY 14224-3332
(716) 674-9600
(716) 674-9700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024373-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030802801
UNIVERA PAYEE ID#
NY
05
—
03931660
—
NY
01
—
GRP513280001
BCBS PAYEE ID#
NY
Enumeration date
11/03/2006
Last updated
02/05/2025
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