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Organization
THE KINGS COUNTY HOSPITAL CENTER
Active
Organization
THE KINGS COUNTY HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENASON BUNBURY CRNA (NURSE ANESTHETIST)
(718) 245-4800
Entity
Organization
Contact information
Practice address
316 ARKANSAS DR, VALLEY STREAM, NY 11580-1804
(516) 561-9391
Mailing address
316 ARKANSAS DR, VALLEY STREAM, NY 11580-1804
(516) 561-9391
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
495263-1
NY
Other
Enumeration date
10/15/2006
Last updated
08/22/2020
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