Individual
THERESA EXAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5000
Mailing address
203 W MARSHALL ST, HEMPSTEAD, NY 11550-7229
(516) 385-3877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553575-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
553575
NY
Other
Enumeration date
12/02/2013
Last updated
12/14/2018
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