MEDICARE: CHRISTOPHER NENTARZ PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	022498	NY

General Provider Information

NPI Number	:	1144257841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER NENTARZ PT

Provider Business Mailing Address
First Line	:	50 S ROYCROFT BLVD
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-2033
Country	:	US
Telephone Number	:	716-512-9440
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WASHINGTON AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14217-1966
Country	:	US
Telephone Number	:	716-512-9440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	10/13/2014

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Directions to “ CHRISTOPHER NENTARZ PT” Practice Location

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