Healthcare Provider Details

I. General information

NPI: 1295697811
Provider Name (Legal Business Name): MICHAEL ANTHONY BUFALINI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ROBINSON PLZ
PITTSBURGH PA
15205-1024
US

IV. Provider business mailing address

103 LIBERTY CT
MOON TWP PA
15108-9697
US

V. Phone/Fax

Practice location:
  • Phone: 412-254-8348
  • Fax:
Mailing address:
  • Phone: 724-622-8623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: