Individual
MR. STANISLAV ERENBURG
Active
Individual
MR. STANISLAV ERENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ00892700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
585363
NY
Other
Enumeration date
12/01/2011
Last updated
06/03/2019
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