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Individual

MOSAES BUCHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, CRNA

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Mailing address
22417 KINGSBURY AVE # B, OAKLAND GARDENS, NY 11364-3626
(347) 554-7789
(718) 465-0323

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
575242
NY
163WC0200X
Critical Care Medicine Registered Nurse
575242
NY
163WE0003X
Emergency Registered Nurse
575242
NY
367500000X
Certified Registered Nurse Anesthetist
157824
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
575242
NY

Other

Enumeration date
06/30/2011
Last updated
05/02/2022
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