SAMSON ITIETIE

NEW YORK, NY
NPI1952453912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  435325-1)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mr. SAMSON ITIETIE CRNA
506 MALCOLM X BLVD
NEW YORK, NY 10037-1802
Phone number: 212-939-3550
Mailing Address
Mr. SAMSON ITIETIE CRNA
1154 ROSSE AVE
NEW MILFORD, NJ 07646-3230
Phone number: 201-530-1686
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