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Organization
GREAT LAKES ANESTHESIOLOGY, PC
Active
Organization
GREAT LAKES ANESTHESIOLOGY, PC
Active
Other names
CGF Anesthesiology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ROEMER (ADMINISTRATIVE ASSISTANT)
(716) 323-6570
Entity
Organization
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-6570
(716) 323-6658
Mailing address
1001 MAIN ST STE K3502, BUFFALO, NY 14203-1009
(167) 323-6570
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01868253
—
NY
Enumeration date
07/31/2006
Last updated
01/22/2020
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