Individual
DR. JUSTIN CONOR WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-A, CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(817) 243-5677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158759
AK
367500000X
Certified Registered Nurse Anesthetist
136495
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
914684
NY
Other
Enumeration date
12/13/2021
Last updated
10/16/2024
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