Individual
CARL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A
Contact information
Practice address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
Mailing address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
360902
NY
Other
Enumeration date
06/24/2005
Last updated
11/22/2019
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