| NPI | 1427194992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE HENDERSHOT Certified Registered Nurse Anesthet 631-444-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 501428-1) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |