Individual
ALEXIS STACHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 836-7510
Mailing address
3871 HARLEM RD STE 202, BUFFALO, NY 14215-1946
(716) 836-7510
(716) 832-3540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0204951
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
602988
NY
Other
Enumeration date
05/28/2015
Last updated
07/27/2021
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