Individual
AARON KHEMCHAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
3318 213TH ST, BAYSIDE, NY 11361-1533
(917) 576-8443
Mailing address
3318 213TH ST, BAYSIDE, NY 11361-1533
(917) 576-8443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
752258
NY
163W00000X
Registered Nurse
R253362
MD
163W00000X
Registered Nurse
RN1062583
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
149041
NY
Other
Enumeration date
06/11/2022
Last updated
06/18/2024
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