Provider Demographics
NPI:1295227957
Name:PERUZZINI, ERIN M (CRNA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:PERUZZINI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4185 SENECA ST STE 11
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3565
Mailing Address - Country:US
Mailing Address - Phone:716-674-8189
Mailing Address - Fax:
Practice Address - Street 1:4185 SENECA ST STE 11
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3565
Practice Address - Country:US
Practice Address - Phone:716-674-8189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY605221367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered