Organization
NICHOLAS H. NOYES MEMORIAL HOSPITAL
Active
Other names
NMH CRNA Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PRUNOSKE (CFO)
(585) 335-6001
Entity
Organization
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-6001
Mailing address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-6001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2527000H
NY
Other
Enumeration date
11/13/2006
Last updated
04/08/2021
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