Organization
NIAGARA FRONTIER ANESTHESIA SERVICES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PATRICK MCHUGH CRNA (PARTNER)
(716) 674-8189
Entity
Organization
Contact information
Practice address
4185 SENECA ST, SUITE 11, WEST SENECA, NY 14224-3565
(716) 674-8189
Mailing address
4185 SENECA ST, SUITE 11, WEST SENECA, NY 14224-3565
(716) 674-8189
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
335615
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000565077002
BLUE CROSS BLUE SHIELD
NY
01
—
430047745
RAILROAD MEDICARE
NY
Enumeration date
06/11/2006
Last updated
01/19/2011
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