Provider Demographics
NPI:1609934553
Name:RUFFO, DANIEL (CRNA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:RUFFO
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 WESTFALL RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3820
Mailing Address - Country:US
Mailing Address - Phone:585-271-4280
Mailing Address - Fax:585-271-4311
Practice Address - Street 1:980 WESTFALL RD
Practice Address - Street 2:SUITE 350 BRIGHTON SURGICAL CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3820
Practice Address - Country:US
Practice Address - Phone:585-271-4280
Practice Address - Fax:585-271-4311
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283006207L00000X
NY2830061367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ75381Medicare Oscar/Certification