Individual
MARY ANTONNETTE CANO BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 746-5454
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
556377
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
154926
NY
Other
Enumeration date
06/14/2022
Last updated
08/25/2025
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