MARK EVERETT BASHFORD

MINEOLA, NY
NPI1942577085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  540595)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
Mr. MARK EVERETT BASHFORD CRNA
216 1ST ST
MINEOLA, NY 11501-3901
Phone number: 516-741-0570
Mailing Address
Mr. MARK EVERETT BASHFORD CRNA
216 1ST ST
MINEOLA, NY 11501-3901
Phone number: 516-741-0570