Individual
JILLIAN PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 MAIN ST # K-3502, BUFFALO, NY 14203-1009
(716) 323-6576
Mailing address
1001 MAIN ST # K-3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702151
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
702151
NY
Other
Enumeration date
03/20/2024
Last updated
05/20/2024
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