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Individual

MS. MARIE KATHRINA TOJONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
670 STONELEIGH AVE, CARMEL, NY 10512-3997
(845) 279-5711
Mailing address
83 ARBORWOOD DR, LANCASTER, NY 14086-4460
(808) 469-9826

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9390953
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
740701-01
NY

Other

Enumeration date
11/15/2016
Last updated
02/12/2021
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