National Provider Identifier
XXX Tenebroso Crisencio Tambien, REGISTERED NURSE
XXX Tenebroso Crisencio Tambien, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Adult Psychiatric/Mental Health Registered Nurse in Buffalo, NY and a listed phone number of (716) 816-2121.
Profile Overview
- NPI
- 1215757521
- Provider Type
- Individual
- Primary Specialty
- Adult Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- October 11, 2024
- Last Updated
- October 11, 2024
Practice Location
- Buffalo Psychiatric Center
- 400 Forest Avenue
- Buffalo, NY 14213
Phone: (716) 816-2121
Mailing Address
- 36 Wilkerson Street
- Thorold, Zz - Foreign Countries 204
- CA
Specialties
- Adult Psychiatric/Mental Health Registered Nurse (163WP0809X)
Full Record
- NPI
- 1215757521
- Entity Type
- Individual
- Last Name
- Tenebroso Crisencio Tambien
- First Name
- XXX
- Credential
- REGISTERED NURSE
- Provider Other Last Name
- Tenebroso
- Provider Other First Name
- Crisencio
- Provider Other Credential Text
- REGISTERED NURSE
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 36 Wilkerson Street
- Mailing City
- Thorold
- Mailing State
- Zz - Foreign Countries
- Mailing ZIP Code
- 204
- Mailing Country
- CA
- Practice Street Address
- Buffalo Psychiatric Center
- Practice Address Line 2
- 400 Forest Avenue
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (716) 816-2121
- Enumeration Date
- October 11, 2024
- Last Updated
- October 11, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Psychiatric/Mental Health Registered Nurse (163WP0809X)