Individual
IRIS SIMBULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
639 W 173RD ST APT 8B, NEW YORK, NY 10032-1428
(213) 300-0020
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
717105
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
4000482
KY
Other
Enumeration date
07/13/2020
Last updated
04/15/2025
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