Individual
MRS. LORI ANN BUFFONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
87 ELLIS CREEK RD, WAVERLY, NY 14892-9540
(607) 972-5158
Mailing address
87 ELLIS CREEK RD, WAVERLY, NY 14892-9540
(607) 972-5158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004058-1
NY
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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