Individual
BRIAN T BISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2157 MAIN STREET, BUFFALO, NY 14214
(716) 862-1051
Mailing address
17 APPLE BLOSSOM BLVD, LANCASTER, NY 14086-9472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN570452
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2593
GHP
PA
01
—
50057889
BLUE CROSS
PW
Enumeration date
07/07/2006
Last updated
12/30/2011
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