Individual
DALONG GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-5773
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
692107
NY
Other
Enumeration date
06/23/2023
Last updated
08/02/2024
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