| NPI | 1457867020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZIELINSKI Senior Credentialing Specialist 516-945-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-03-03 |