Individual
MICHAEL COCAVESSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6428061
NY
Other
Enumeration date
12/10/2016
Last updated
03/21/2023
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