Individual
BILLY MIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(337) 962-8638
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(337) 962-8638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
628811
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
628811
NY
Other
Enumeration date
08/14/2012
Last updated
12/23/2024
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