Individual
JEFFREY ALAN GAULRAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
UPSTATE UNIVERSITY HOSPITAL COMMUNITY GENERAL CAMPUS, 4900 BROAD ROAD, SYRACUSE, NY 13215
(315) 559-4764
Mailing address
5059 REVOLUTIONARY PATH, LIVERPOOL, NY 13088-5951
(315) 420-6093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
669646
NY
163W00000X
Registered Nurse
Primary
669646-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
669646-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669646-1
UNIVERSITY OF THE STATE OF NEW YORK OFFICE OF THE PROFESSIONS LICENSE NUMBER
NY
Enumeration date
05/08/2020
Last updated
02/18/2026
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