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Individual

ALLEN MIGLIACCIO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
536 S JAY ST, ROME, NY 13440-1626
(315) 336-3933
Mailing address
536 S JAY ST, ROME, NY 13440-1626
(315) 336-3933

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
259891-1
NY
367500000X
Certified Registered Nurse Anesthetist
APN 557
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN0970
SC
Enumeration date
07/28/2005
Last updated
07/08/2007
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