Healthcare Provider Details

I. General information

NPI: 1922197870
Provider Name (Legal Business Name): BUKATY FAMILY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4269 ST. FRANCIS DR
HAMBURG NY
14075
US

IV. Provider business mailing address

4269 ST. FRANCIS DR
HAMBURG NY
14075
US

V. Phone/Fax

Practice location:
  • Phone: 716-627-3668
  • Fax: 716-627-2332
Mailing address:
  • Phone: 716-627-3668
  • Fax: 716-627-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX009117-2
License Number StateNY

VIII. Authorized Official

Name: DR. CHRISTINA BUKATY
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 716-627-3668