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Individual

CAROLYN BOSZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
622 W 168TH ST DEPT OF, NEW YORK, NY 10032-3720
(212) 305-2413
Mailing address
622 W 168TH ST DEPT OF, NEW YORK, NY 10032-3720
(212) 305-2413

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
844806
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11010133
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
844806
LICENSE
TX
Enumeration date
04/21/2014
Last updated
12/20/2024
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