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Individual

AVROHOM P SCHWINDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, MS-SLP

Contact information

Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
1502 AUGUST DR, LAKEWOOD, NJ 08701-3801
(248) 318-1275

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR17625800
NJ
235Z00000X
Speech-Language Pathologist
41YS00574800
NJ
235Z00000X
Speech-Language Pathologist
58017722
NY
367500000X
Certified Registered Nurse Anesthetist
26NJ01180100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
686536
NY

Other

Enumeration date
11/27/2008
Last updated
09/01/2024
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