Most Relevant Information
Provider Data
| NPI Number: | 1003363391 |
| Provider Name: | GENEVA MCCRAYER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 323374 |
Most Important Dates
| Enumeration Date: | 09/05/2016 |
| Last Updated: | 10/11/2018 |
Provider Practice Location
28 ENOLA AVE LOWR
KENMORE
NY
142171708
Practice Location Phone/Fax
| Phone: | 7165107144 |
| Fax: |
Provider Mailing Location
625 DELAWARE AVE STE 204
BUFFALO
NY
142021007
Provider Mailing Phone/Fax
| Phone: | 7168823151 |
| Fax: | 7168864022 |