Individual
CHARLIE C AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7646
(315) 470-7649
Mailing address
13219 DARWIN LN, AUSTIN, TX 78729-7494
(512) 296-8709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
935201
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
870259
NY
Other
Enumeration date
09/16/2022
Last updated
12/14/2025
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