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Individual

ANISA MERTIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1635 RADCLIFF AVE, BRONX, NY 10462-4014
(917) 238-8361
Mailing address
1635 RADCLIFF AVENUE, BRONX, NY 10462
(917) 238-8361

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22 562843
NY

Other

Enumeration date
10/27/2014
Last updated
10/27/2014
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