National Provider Identifier

Heather Gronkowski

Heather Gronkowski is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 204-3200.

NPI 1942951173Buffalo, NYPhysical Therapist

Profile Overview

NPI
1942951173
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 10, 2022
Last Updated
February 24, 2025

Practice Location

  • 100 Washington St
  • Buffalo, NY 14203-3023

Phone: (716) 204-3200

Mailing Address

  • 4225 Genesee St Ste 400
  • Cheektowaga, NY 14225-1994

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1942951173
Entity Type
Individual
Last Name
Gronkowski
First Name
Heather
Mailing Street Address
4225 Genesee St Ste 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1994
Mailing Country
US
Mailing Phone
(716) 204-3200
Practice Street Address
100 Washington St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-3023
Practice Country
US
Practice Phone
(716) 204-3200
Enumeration Date
January 10, 2022
Last Updated
February 24, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)