Individual
KISHA NICOLA MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-3702
(718) 245-4408
Mailing address
128 E 55TH ST, BROOKLYN, NY 11203-3702
(347) 546-0477
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
522397
NY
Other
Enumeration date
12/22/2005
Last updated
05/10/2018
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