Individual
MICHAEL GIMENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CCRN, DNP
Contact information
Practice address
27005 76TH AVE DEPT OF, NEW HYDE PARK, NY 11040-1402
(718) 470-7390
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
617136-1
NY
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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