Provider Demographics
NPI:1629014725
Name:VASQUEZ, MELISSA A (CRNA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:CRNA
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Other - First Name:
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Mailing Address - Street 1:219 BRYANT STREET
Mailing Address - Street 2:CGF ANESTHESIA ASSOCIATES PC
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222
Mailing Address - Country:US
Mailing Address - Phone:716-878-7444
Mailing Address - Fax:716-878-7316
Practice Address - Street 1:219 BRYANT STREET
Practice Address - Street 2:CGF ANESTHESIA ASSOCIATES PC
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222
Practice Address - Country:US
Practice Address - Phone:716-878-7444
Practice Address - Fax:716-878-7316
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY4588121367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered