Individual
JAMES MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Mailing address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5325892
NY
Other
Enumeration date
07/18/2006
Last updated
02/06/2008
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