Individual
MR. GUSTAAF CORNELIS VAN SOESTBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA MSN MPA
Contact information
Practice address
2568 WALDEN AVE STE 103-105, CHEEKTOWAGA, NY 14225-4760
(716) 632-1088
Mailing address
2568 WALDEN AVE STE 103-105, CHEEKTOWAGA, NY 14225-4760
(716) 632-1088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0105995
NC
367500000X
Certified Registered Nurse Anesthetist
086274-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
173
NC
367500000X
Certified Registered Nurse Anesthetist
397403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052174
—
NC
05
—
NAN754
—
SC
Enumeration date
09/01/2006
Last updated
05/09/2026
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