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Individual

CHRISTOPHER PONICHTERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT DPT

Contact information

Practice address
2100 UNION RD, WEST SENECA, NY 14224-1400
(716) 656-8600
(716) 656-1560
Mailing address
BOX 8000 DEPT 314, BUFFALO, NY 14267-0002
(716) 213-0772
(716) 324-5004

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044215
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05930869
NY
Enumeration date
05/31/2019
Last updated
04/14/2021
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