Individual
ALI NICOLE PENSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 MAIN ST STE K3502, BUFFALO, NY 14203-1009
(716) 323-6570
Mailing address
1001 MAIN ST # K-3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
562532
NY
Other
Enumeration date
11/14/2011
Last updated
06/13/2023
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