Individual
JESSICA MARIE RAGUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1699
(718) 818-1234
Mailing address
169 SWINNERTON ST, STATEN ISLAND, NY 10307-1633
(347) 403-3233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
751026
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
145502
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
751026
NY
Other
Enumeration date
05/26/2023
Last updated
04/08/2026
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