| NPI | 1639992118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA DEPEW President 347-731-2133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |