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Individual

KAMLA TIWARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 518-5000
Mailing address
17425 142ND AVE, JAMAICA, NY 11434-4611
(718) 974-9321

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
677002
NY
390200000X
Student in an Organized Health Care Education/Training Program
677002
NY

Other

Enumeration date
08/12/2024
Last updated
12/04/2024
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