Healthcare Provider Details

I. General information

NPI: 1295372647
Provider Name (Legal Business Name): NANCY L BUERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARRISH ST
CANANDAIGUA NY
14424-1731
US

IV. Provider business mailing address

350 PARRISH ST
CANANDAIGUA NY
14424-1731
US

V. Phone/Fax

Practice location:
  • Phone: 585-396-6050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007339-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: