Individual
INGRID EMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
27005 76TH AVE, ANESTHESIA DEPARTMENT, NEW HYDE PARK, NY 11040-1496
(718) 470-7390
Mailing address
27005 76TH AVE, ANESTHESIA DEPARTMENT, NEW HYDE PARK, NY 11040-1496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
664530
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
129877
NY
Other
Enumeration date
05/05/2020
Last updated
07/12/2021
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