National Provider Identifier
Stephen J. Fezer III, CRNA
Stephen J. Fezer III, 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) 898-3436.
Profile Overview
- NPI
- 1639161656
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- August 16, 2005
- Last Updated
- October 06, 2022
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3436
Mailing Address
- 462 Grider St
- Professional Billing
- Buffalo, NY 14215-3021
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1639161656
- Entity Type
- Individual
- Last Name
- Fezer
- First Name
- Stephen
- Middle Name
- J.
- Name Prefix
- Mr.
- Name Suffix
- III
- Credential
- CRNA
- Mailing Street Address
- 462 Grider St
- Mailing Address Line 2
- Professional Billing
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-3537
- Mailing Fax
- (716) 898-3716
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3436
- Enumeration Date
- August 16, 2005
- Last Updated
- October 06, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)