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NPI Code Detail

MEDICARE: FRESHFIX

MEDICARE: FRESHFIX
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
1172V00000XCommunity Health Worker
2133V00000XRegistered Dietitian
3332U00000XHome Delivered Meals
4251B00000XCase Management Agency

General Provider Information

NPI Number : 1710835715
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESHFIX
Provider Business Mailing Address
First Line : 229 W GENESEE ST UNIT 105
Second Line :
City : BUFFALO
State : NY
Zip : 14201-7005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 229 W GENESEE ST UNIT 105
Second Line :
City : BUFFALO
State : NY
Zip : 14201-7005
Country : US
Telephone Number : 716-961-2590
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KRISTIE CHAMBERLAIN
Credential :
Telephone Number : 716-961-2590
Provider Enumeration Date : 03/17/2026
Last Update Date : 04/17/2026

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Directions to “FRESHFIX ” Practice Location

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