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Stacey Forgensi, CRNA

Nurse Anesthetist, Certified Registered in Buffalo, NY. Individual provider (NPI-1).

NPI number1063758134
StatusActive
Last updated in NPPESDec 18, 2012

Details

NPI
1063758134
Entity type
Individual (NPI-1)
Name
Stacey Forgensi
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2012
Last updated
Dec 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered476178NYYes

Practice location

462 Grider St
Buffalo, NY 14215-3021

Phone 716-898-3549

Mailing address

462 Grider St
Buffalo, NY 14215-3021

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