Individual
JENNY SHMUSHKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1699
(718) 818-1234
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14071400
NJ
163W00000X
Registered Nurse
581083
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00422600
NJ
Other
Enumeration date
11/28/2012
Last updated
07/30/2024
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