Individual
MR. DAVID BENJAMIN HEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
593 ROOT RD, BROCKPORT, NY 14420-9755
(908) 723-5210
Mailing address
593 ROOT RD, BROCKPORT, NY 14420-9755
(908) 723-5210
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
22644852
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
118380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04158617798
—
NY
Enumeration date
12/05/2011
Last updated
06/30/2023
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