Individual
MR. ENRICO ESPANOL TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA FNP
Contact information
Practice address
395 STOCKHOLM ST, APT 2, BROOKLYN, NY 11237-4007
(832) 763-2906
Mailing address
395 STOCKHOLM ST, APT 2, BROOKLYN, NY 11237-4007
(832) 763-2906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN093092
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
079661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195369701
—
TX
05
—
2100815
—
TX
01
—
89053U
BLUE CROSS BLUE SHIELD
TX
01
—
P00827797
RAILROAD MEDICARE
TX
Enumeration date
03/04/2008
Last updated
11/11/2013
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