Individual
MRS. ELIZABETH ANN GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2444
Mailing address
68 N HOWELL AVE, CENTEREACH, NY 11720-2840
(631) 648-0181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
489355-1
NY
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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