Theodore Brand CRNA

NPI 1962425256 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1962425256
Gender Male
Enumeration Date 07/26/2006
Last Updated 10/29/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
7785 N STATE ST
LOWVILLE NY, 13367-1229, US
Phone (315) 376-5475
Fax
Business Location
PO BOX 2337
SYRACUSE NY, 13220-2337, US
Phone (315) 422-2933
Fax (315) 422-3909
Toxanomy
Taxonomy Code 367500000X
License State New York
License Number 273665
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According to our database, Theodore Brand CRNA NPI is 1962425256, taxonomy code is 367500000X and license number is 273665, license state is located at New York. Theodore Brand CRNA physically located at 7785 N State St, Lowville NY, 13367-1229. NPI Number Theodore Brand CRNA has the Individual type.

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1962425256 NPI number is provided on an as is basis without warranty of any kind. 1962425256 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Brand CRNA are for informational purposes only.