Glendale Imson CRNA, MSN

NPI 1053468389 - Registered Nurse - 163W00000X

NPI Details
NPI 1053468389
Gender Female
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
BRONX NY, 10463-1845, US
Phone (718) 815-1000
Fax (718) 815-8122
Business Location
STATEN ISLAND NY, 10314-2408, US
Phone (718) 815-1000
Fax (718) 815-8122
Taxonomy Code 163W00000X
License State New York
License Number 501976
Remove 1053468389 NPI Number

According to our database, Glendale Imson CRNA, MSN NPI is 1053468389, taxonomy code is 163W00000X and license number is 501976, license state is located at New York. Glendale Imson CRNA, MSN physically located at 3765 Riverdale Ave, Bronx NY, 10463-1845. NPI Number Glendale Imson CRNA, MSN has the Individual type.

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1053468389 NPI number is provided on an as is basis without warranty of any kind. 1053468389 is maintained by the National Plan & Provider Enumeration System. The contents of Glendale Imson CRNA, MSN are for informational purposes only.