Individual
VICTORIA PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 323-6570
Mailing address
1001 MAIN ST # K3502, BUFFALO, NY 14203-1009
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
643772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-1548501
GREAT LAKES ANESTHESIOLOGY
—
Enumeration date
06/16/2020
Last updated
03/09/2025
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