Individual
MR. JASON J WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
265 HERRICK RD, SOUTHAMPTON, NY 11968-5045
(631) 726-8350
(631) 726-8519
Mailing address
PO BOX 7025, AMAGANSETT, NY 11930-7025
(631) 329-6925
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
088571
CT
163W00000X
Registered Nurse
597211
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
597211
NY
Other
Enumeration date
06/23/2011
Last updated
07/17/2012
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