Basic Information
Provider Information
NPI: 1861950164
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILINSKI
FirstName: GEOFFREY
MiddleName: DANIEL
NamePrefix: MR.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3871 HARLEM RD STE 202
Address2:  
City: BUFFALO
State: NY
PostalCode: 142151946
CountryCode: US
TelephoneNumber: 7168367510
FaxNumber: 7168323540
Practice Location
Address1: ELM AND CARLTON STREETS
Address2:  
City: BUFFALO
State: NY
PostalCode: 142630001
CountryCode: US
TelephoneNumber: 7168452300
FaxNumber: 7168458518
Other Information
ProviderEnumerationDate: 03/05/2019
LastUpdateDate: 11/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X674809NYN Nursing Service ProvidersRegistered Nurse 
367500000X123328NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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