Individual
STEPHANIE EMILY JACHNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(914) 709-8165
Mailing address
435 E 79TH ST APT 2O, NEW YORK, NY 10075-1071
(516) 659-8677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612665
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
612665
NY
Other
Enumeration date
08/27/2013
Last updated
10/23/2013
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