Individual
DR. ENOCK NYAMOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653713
NY
367500000X
Certified Registered Nurse Anesthetist
2020038995
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
653713
NY
367500000X
Certified Registered Nurse Anesthetist
AP128147
TX
Other
Enumeration date
01/22/2015
Last updated
05/06/2025
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