Individual
JANET GRGUROVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE # 10022, NEW YORK, NY 10022-6102
(917) 498-4811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
561177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W244217112
AETNA
NY
Enumeration date
02/25/2019
Last updated
12/03/2024
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