Organization
SANDMAN CERTIFIED REGISTERED NURSE ANESTHETIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J EVANS CRNA (PRESIDENT)
(631) 281-3219
Entity
Organization
Contact information
Practice address
1193 BEACH 9TH ST, FAR ROCKAWAY, NY 11691-4847
(718) 471-8363
(718) 471-3774
Mailing address
41 PROBST DR, SHIRLEY, NY 11967-3318
(631) 281-3219
(631) 395-9416
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
252639-1
NY
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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