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Individual

PAUL SINQUEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
900 WASHINGTON RD, BLDG 900, WEST POINT, NY 10996-1109
(845) 938-6677
Mailing address
310 WINANS PL APT E, WEST POINT, NY 10996-1259
(845) 527-1951

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
617028-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200857280A
MEDICAID GROUP
05
200884590
IN
01
28175439A
STATE LICENSE
IN
Enumeration date
10/24/2007
Last updated
06/18/2013
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