Individual
RAZA MIAN
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) 226-9000
Mailing address
309 GIFFORDS LN, STATEN ISLAND, NY 10308-1601
(718) 679-6142
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148189
NY
Other
Enumeration date
06/22/2024
Last updated
09/17/2024
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