Healthcare Provider Details

I. General information

NPI: 1447252929
Provider Name (Legal Business Name): ARGANTE GRIPPA CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 12/11/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5645 MAIN ST
FLUSHING NY
11355-5045
US

IV. Provider business mailing address

550 1ST AVE RUSK 607
NEW YORK NY
10016-6402
US

V. Phone/Fax

Practice location:
  • Phone: 954-913-6564
  • Fax:
Mailing address:
  • Phone: 212-263-5072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number462748
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: