Individual
RENASON BUNBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5070
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495263-1
LICENSE
NY
Enumeration date
08/14/2006
Last updated
01/06/2025
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