Individual
DOUGLAS CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5244
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 312-5241
(212) 312-5855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
362886
NY
367500000X
Certified Registered Nurse Anesthetist
3628861
NY
Other
Enumeration date
06/28/2005
Last updated
02/13/2025
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