Individual
ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
622 WEST 168TH STREET,, NEW YORK, NY 10032
(212) 305-9876
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(646) 317-3150
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
610024-1
NY
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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