Individual
BENJAMIN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 MAIN ST, 326 WENDE HALL, BUFFALO, NY 14214
(315) 527-6004
Mailing address
222 FLORENCE CT, CHADWICKS, NY 13319-3304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
673291
NY
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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