Russell M Candelaria, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Manhasset, NY

NPI

1104142546

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

503701 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2010-04-09

Last updated

2010-04-09