Individual
GREGORY NICOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
560 FIRST AVENUE, DEPARTMENT OF ANESTHESIA ROOM 530, NEW YORK, NY 10016
(212) 263-5072
Mailing address
560 FIRST AVENUE, DEPARTMENT OF ANESTHESIA ROOM 530, NEW YORK, NY 10016
(212) 263-5072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
485403
NY
Other
Enumeration date
06/12/2006
Last updated
01/14/2019
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