Individual
JASON LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
772444
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
772444
NY
Other
Enumeration date
04/07/2025
Last updated
07/11/2025
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