Individual
DANIEL MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
40 FRONT ST, RIVERSIDE ASSOC IN ANESTHESIA PC, BINGHAMTON, NY 13905-4712
(607) 722-7264
(607) 722-7869
Mailing address
RIVERSIDE ASSOC IN ANESTHESIA, 40 FRONT ST. STE C, BINGHAMTON, NY 13905
(607) 722-7264
(607) 722-7869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
533659
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
054081
NY
367500000X
Certified Registered Nurse Anesthetist
533659
NY
Other
Enumeration date
10/04/2005
Last updated
12/04/2025
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