National Provider Identifier
Gregg Broffman, MD
Gregg Broffman, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in West Seneca, NY and a listed phone number of (716) 668-3600.
Profile Overview
- NPI
- 1366494973
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 16, 2006
- Last Updated
- July 08, 2007
Practice Location
- 120 Gardenville Pkwy
- West Seneca, NY 14224
Phone: (716) 668-3600
Mailing Address
- 800 Carter St
- Attn Kelly Steele
- Rochester, NY 14621
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1366494973
- Entity Type
- Individual
- Last Name
- Broffman
- First Name
- Gregg
- Credential
- MD
- Mailing Street Address
- 800 Carter St
- Mailing Address Line 2
- Attn Kelly Steele
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621
- Mailing Country
- US
- Mailing Phone
- (585) 339-4793
- Mailing Fax
- (585) 336-4845
- Practice Street Address
- 120 Gardenville Pkwy
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224
- Practice Country
- US
- Practice Phone
- (716) 668-3600
- Practice Fax
- (716) 565-4223
- Enumeration Date
- May 16, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 050216000044 (NY, Fidelis), P00201738 (NY, Medicare Railroad), 10520422 (NY, Caqh), 159628DL (NY, Preferred Care), 000000089397 (NY, Ghi), 000500324010 (NY, BCBS), 050216000049 (NY, Fidelis), 00010021101 (NY, Univera), 10495518 (NY, Caqh)