Individual
MRS. SUZANN PATRICIA GRAVIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
800 WESTCHESTER AVE # 511, RYE BROOK, NY 10573-1354
(914) 428-5354
Mailing address
7 HENRY ST, ORANGEBURG, NY 10962-2306
(845) 613-7957
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
477871-1
NY
Other
Enumeration date
12/21/2005
Last updated
06/03/2016
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