Individual
JASPA KUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
131753
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
819648
NY
Other
Enumeration date
08/11/2021
Last updated
05/22/2025
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