Individual
ESEQUIEL JOSHUA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
(518) 207-2973
Mailing address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
(518) 207-2973
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
872325
TX
367500000X
Certified Registered Nurse Anesthetist
69020
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
857349
NY
Other
Enumeration date
12/17/2020
Last updated
12/29/2022
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