Individual
VICTORIA ROSE FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
834115-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
834115-01
NY
Other
Enumeration date
07/30/2024
Last updated
02/05/2025
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