Individual
RAYMOND ARTHUR NEISWONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ACNP, BC
Contact information
Practice address
462 GRIDER STREET, RM 741, BUFFALO, NY 14215
(716) 961-6995
(716) 898-5276
Mailing address
6653 MAIN STREET, WILLIAMSVILLE, NY 14221
(716) 204-4500
(716) 204-4501
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
F430228-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663761
—
NY
Enumeration date
02/23/2006
Last updated
10/21/2009
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