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NPI Code Detail

MEDICARE: CHRISTIAN DJANIE CRNA

MEDICARE: CHRISTIAN DJANIE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant471503NY
2367500000XCertified Registered Nurse Anesthetist471503NY
3367500000XCertified Registered Nurse Anesthetist26NJ15233700NJ

General Provider Information

NPI Number : 1821147166
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN DJANIE CRNA
Provider Business Mailing Address
First Line : 100 ROUTE 59 STE 111
Second Line :
City : SUFFERN
State : NY
Zip : 10901-5620
Country : US
Telephone Number : 845-357-5775
Fax Number : 845-357-5777
Provider Business Practice Location Address
First Line : 736 IRVING AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-1602
Country : US
Telephone Number : 315-470-7111
Fax Number : 516-945-3131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 05/27/2025

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