Individual
MRS. FAYELYN JEAN HORESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
935 W FERRY ST, APT 4, BUFFALO, NY 14209-1425
(716) 536-5093
Mailing address
935 W FERRY ST, APT 4, BUFFALO, NY 14209-1425
(716) 536-5093
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102653
NY
Other
Enumeration date
08/18/2014
Last updated
11/13/2015
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