Individual
GIFTY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 FLUSHING AVE, FAIRFIELD, CT 06825-1450
(516) 425-0915
Mailing address
146 FLUSHING AVE, FAIRFIELD, CT 06825-1450
(516) 425-0915
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
590249
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
137467
CT
Other
Enumeration date
07/22/2021
Last updated
06/14/2022
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