Raymond Arthur Neiswonger
Nurse Practitioner - Critical Care Medicine
462 Grider Street Rm 741
Buffalo
, New York 14215
Raymond Arthur Neiswonger
Nurse Practitioner - Critical Care Medicine
462 Grider Street Rm 741
Buffalo
, New York 14215
(716) 204-4501
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Raymond Arthur Neiswonger
- 6653 Main Street
- Williamsville, NY
- Zip : 14221
- Fax : (716) 204-4501
- Phone : (716) 204-4500
Second Address
- Raymond Arthur Neiswonger
- 462 Grider Street Rm 741
- Buffalo, NY
- Zip : 14215
- Fax : (716) 898-5276
- Phone : (716) 961-6995
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | F430228-1 | NY |
National Provider Identifier
| NPI | 1326013152 |
|---|---|
| Provider Name | Raymond Arthur Neiswonger |
| First Address | Williamsville, NY 14221 |
| Second Address | Buffalo, NY 14215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 21/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02663761 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.