Individual
BRIAN T POREBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2128 ELMWOOD AVENUE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-8145
Mailing address
2128 ELMWOOD AVENUE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-8145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0222221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011249902
CHILDHEALTH PLUS
—
01
—
000626999001
COMMUNITY CARE
—
05
—
01465154
—
NY
01
—
050801000038
FIDELIS CHILD HEALTH PLUS
—
01
—
160975538
NORTH AMERICAN PREFERRED
—
01
—
6698654
GROUP HEALTH INSURANCE
—
01
—
ASO
00011249902
—
Enumeration date
02/24/2006
Last updated
11/29/2011
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