| NPI | 1649360041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G CARESTIA Medical Director 267-566-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2022-08-15 |