Individual
ITEONA ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2323
Mailing address
72 WHITE RD, SHREWSBURY, NJ 07702-4033
(732) 693-1885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
743130
NY
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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