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Individual

BRIAN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-6570
(716) 323-6658
Mailing address
1001 MAIN ST STE K-3502, BUFFALO, NY 14203-1009

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645234
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
645234
NY

Other

Enumeration date
03/01/2024
Last updated
05/20/2024
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