MEDICARE: GREEN PASTURES STILL WATERS, LLC

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1467090803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN PASTURES STILL WATERS, LLC

Provider Business Mailing Address
First Line	:	259 GREENHAVEN TER
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-5551
Country	:	US
Telephone Number	:	716-435-0020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 HERTEL AVE STE 1
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14216-2831
Country	:	US
Telephone Number	:	716-922-2772
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LMT
Name	:	LAURA LOUISE ZIMBERG
Credential	:	LMT
Telephone Number	:	716-435-0020

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	12/17/2019

Similar Medicare Providers

1386456184 — SARAH ELIZABETH WALDEN
Practice Location Address:

3224 MOUNT LEBANON RD
BUFFALO, SC
29321-2831

Practice Phone: 864-441-3638
Practice Fax:

1598274417 — CAITLIN STEITZER
Practice Location Address:

765 CRESCENT AVE
BUFFALO, NY
14216-3417

Practice Phone: 929-320-0408
Practice Fax: 716-408-9452

1952250193 — GOOD PRACTICE THERAPY LCSW PC
Practice Location Address:

765 CRESCENT AVE
BUFFALO, NY
14216-3417

Practice Phone: 929-320-0408
Practice Fax: 716-408-9452

1811856883 — SAFA FONTAIN
Practice Location Address:

34 TIOGA ST
BUFFALO, NY
14216-2719

Practice Phone: 716-292-9166
Practice Fax:

1215935994 — DR. DAVID ALAN BURSTEIN OD
Practice Location Address:

924 KENMORE AVE
BUFFALO, NY
14216-1451

Practice Phone: 716-876-2020
Practice Fax: 716-876-3261

1720089568 — DR. STEVEN R. CAPROW D.C.
Practice Location Address:

1748 HERTEL AVE
BUFFALO, NY
14216-3002

Practice Phone: 716-835-0066
Practice Fax: 716-835-9700

Directions to “GREEN PASTURES STILL WATERS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.