Individual
MS. LUCKSANA T SASITORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9510
(718) 920-9582
Mailing address
221 TRENCHARD ST, YONKERS, NY 10704-2247
(914) 969-0867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
247294
NY
Other
Enumeration date
06/13/2007
Last updated
01/01/2009
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