Individual
SAIYAI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
360 HIGHWAY 70, LAKEWOOD, NJ 08701-5823
(732) 294-2876
(732) 294-2502
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 370-3861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11889500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00358700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87591
CRNA
NJ
Enumeration date
01/11/2012
Last updated
10/16/2024
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