| NPI | 1609813583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONE Authorized Official 716-389-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-12-11 |