Individual
KATHLEEN MARTY YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5039
(845) 368-5327
Mailing address
233 LAFAYETTE AVE STE 204, SUFFERN, NY 10901-5620
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
58294-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
582941
NY
Other
Enumeration date
01/28/2014
Last updated
08/09/2022
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