Individual
LISA ROSTOKER MUCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A., R.N.
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-6500
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
564682
NY
Other
Enumeration date
01/23/2012
Last updated
04/29/2015
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