Individual
MISS MARIA CIELO FAJARDO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
2540 SHORE BLVD APT 2-0, ASTORIA, NY 11102-3941
(718) 956-0108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
429612-1
NY
Other
Enumeration date
01/09/2007
Last updated
03/18/2024
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