Individual
MARIO INGLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 423-0104
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
390405
NY
Other
Enumeration date
06/27/2005
Last updated
12/11/2024
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