Individual
STACEY FORGENSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3549
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
476178
NY
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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