Individual
KAILA DE MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-5756
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
707571
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
707571
NY
Other
Enumeration date
06/12/2019
Last updated
03/13/2023
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