Healthcare Provider Details

I. General information

NPI: 1780520940
Provider Name (Legal Business Name): CHRISTOPHER NALBACH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 RIDGE RD
BUFFALO NY
14218-1629
US

IV. Provider business mailing address

72 DELRAY DR
CHEEKTOWAGA NY
14225-1653
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-7022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: