Individual
NICOLE MONCEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6494
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
625660-01
NY
163W00000X
Registered Nurse
RN2280672
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
89504
NY
Other
Enumeration date
09/13/2012
Last updated
03/31/2023
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