Renason Bunbury CRNA

NPI 1154334043 - Anesthesiology - 207L00000X

NPI Details
NPI 1154334043
Gender Male
Enumeration Date 08/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
333 ROUTE 25A
SUITE 25A
ROCKY POINT NY, 11778-8556, US
Phone (631) 744-3671
Fax (631) 744-6205
Business Location
333 ROUTE 25A
SUITE 25A
ROCKY POINT NY, 11778-8556, US
Phone (631) 744-3671
Fax (631) 744-6205
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 495263-1
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According to our database, Renason Bunbury CRNA NPI is 1154334043, taxonomy code is 207L00000X and license number is 495263-1, license state is located at New York. Renason Bunbury CRNA physically located at 333 Route 25a, Rocky Point NY, 11778-8556. NPI Number Renason Bunbury CRNA has the Individual type.

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1154334043 NPI number is provided on an as is basis without warranty of any kind. 1154334043 is maintained by the National Plan & Provider Enumeration System. The contents of Renason Bunbury CRNA are for informational purposes only.