Individual
TROY A PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 MAIN ST # K3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658
Mailing address
1001 MAIN ST # K3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN504960L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101382108
—
PA
01
—
1534113
BLUE SHIELD
PA
01
—
GRP528724001
BCBS
NY
Enumeration date
10/17/2005
Last updated
03/04/2021
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