Individual
MRS. KOA K ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
375 CARLLS PLACE, 329, DEER PARK, NY 11729
(718) 283-6000
Mailing address
PO BOX 329, DEER PARK, NY 11729-0329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
517374
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
517374
NY
Other
Enumeration date
08/01/2012
Last updated
06/28/2023
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