Individual
MS. LIV LYNMA JAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(212) 639-7900
Mailing address
410 E 74TH ST, APT 1D, NEW YORK, NY 10021-3918
(212) 365-4332
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
231366
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
580954-1
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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