Individual
ALEC DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3000
Mailing address
26 FAIRFIELD AVE, TOWN OF TONAWANDA, NY 14223-2814
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
747501
NY
Other
Enumeration date
04/17/2024
Last updated
10/16/2024
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