Individual
PRATIMA DEVI CHANDRICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
678912-01
NY
Other
Enumeration date
06/23/2023
Last updated
05/27/2025
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