Individual
JESUS MACASPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 COMMUNITY DR, ANESTHESIA DEPARTMENT, MANHASSET, NY 11030-3816
(516) 562-4887
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
428025
NY
Other
Enumeration date
07/29/2005
Last updated
10/29/2009
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