Neiswonger, Raymond Arthur

Neiswonger, Raymond Arthur is an individual health care provider with primary practice located at 462 Grider Street Rm 741, Buffalo NY 14215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Neiswonger, Raymond Arthur can be contacted via phone (716) 961-6995.

Contact Information

Primary practice address
462 Grider Street Rm 741 Buffalo NY 14215
Fax: (716) 898-5276
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X F430228-1 New York

Profile Details

NPI number 1326013152
LBN Legal business name Neiswonger, Raymond Arthur
Credentials RN, ACNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326013152 NPPES
New York MEDICAID 02663761

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