| NPI | 1518330638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A KRONENFELD Director 718-283-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |