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NPI Code Detail

MEDICARE: PEI SAN HUANG CRNA

MEDICARE: PEI SAN HUANG CRNA
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
1367500000XCertified Registered Nurse Anesthetist524499NY

General Provider Information

NPI Number : 1033113931
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEI SAN HUANG CRNA
Provider Business Mailing Address
First Line : 4511 HARLEM RD RM 3
Second Line :
City : AMHERST
State : NY
Zip : 14226-3822
Country : US
Telephone Number : 716-886-0444
Fax Number : 716-885-7070
Provider Business Practice Location Address
First Line : 3095 HARLEM RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-2500
Country : US
Telephone Number : 716-896-3815
Fax Number : 716-896-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/21/2022

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Directions to “ PEI SAN HUANG CRNA” Practice Location

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