Individual
JAMES J GATDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9290
Mailing address
PO BOX 5807, NEW YORK, NY 10087-5807
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92516
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578038-1
LICENSE
NY
Enumeration date
05/13/2013
Last updated
05/13/2013
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