National Provider Identifier

Richard James Boneberg, CRNA

Richard James Boneberg, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Buffalo, NY and a listed phone number of (716) 323-6570.

NPI 1215988191Buffalo, NYCertified Registered Nurse Anesthetist

Profile Overview

NPI
1215988191
Provider Type
Individual
Primary Specialty
Certified Registered Nurse Anesthetist
Enumeration Date
May 15, 2006
Last Updated
March 05, 2025

Practice Location

  • 1001 Main St # K3502
  • Buffalo, NY 14203-1009

Phone: (716) 323-6570

Specialties

  • Certified Registered Nurse Anesthetist (367500000X)
Full Record
NPI
1215988191
Entity Type
Individual
Last Name
Boneberg
First Name
Richard
Middle Name
James
Credential
CRNA
Mailing Street Address
1001 Main St # K3502
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Mailing Phone
(716) 323-6570
Mailing Fax
(716) 323-6658
Practice Street Address
1001 Main St # K3502
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 323-6570
Practice Fax
(716) 323-6658
Enumeration Date
May 15, 2006
Last Updated
March 05, 2025
Sex
Male
Sole Proprietor
No
Certification Date
March 05, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Certified Registered Nurse Anesthetist (367500000X)