| NPI | 1518912302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. KRONENFELD Authorized Representative 718-283-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-06-17 |