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1104142546
RUSSELL M CANDELARIA
MANHASSET, NY
NPI
1104142546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 503701)
Enumeration Date
2010-04-09
Last Update Date
2010-04-09
Business Address
-- RUSSELL M CANDELARIA CRNA
300 COMMUNITY DR DEPARTMENT OF ANESTHESIA
MANHASSET, NY 11030-3816
Phone number: 516-562-4887
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Mailing Address
-- RUSSELL M CANDELARIA CRNA
68 S SERVICE RD SUITE 350
MELVILLE, NY 11747-2354
Phone number: 516-945-3000
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