Healthcare Provider Details

I. General information

NPI: 1902182181
Provider Name (Legal Business Name): CELESTE ANGEL HAND CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 OCEAN PKWY CONEY ISLAND HOSPITAL
BROOKLYN NY
11235
US

IV. Provider business mailing address

45 RESEARCH WAY STE 206
EAST SETAUKET NY
11733-6401
US

V. Phone/Fax

Practice location:
  • Phone: 718-616-3359
  • Fax:
Mailing address:
  • Phone: 631-675-9300
  • Fax: 631-675-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4938521
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number493852
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: