Healthcare Provider Details

I. General information

NPI: 1710260344
Provider Name (Legal Business Name): MICHELLE L. REASE GRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE L. GETZ RN

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 FRONT ST. SUITE C C/O RIVERSIDE ANESTHESIA
BINGHAMTON NY
13905
US

IV. Provider business mailing address

40 FRONT ST. SUITE C C/O RIVERSIDE ANESTHESIA
BINGHAMTON NY
13905
US

V. Phone/Fax

Practice location:
  • Phone: 607-722-7264
  • Fax: 607-722-7869
Mailing address:
  • Phone: 607-722-7264
  • Fax: 607-722-7869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number088813
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number648071
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number648071
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: