Healthcare Provider Details

I. General information

NPI: 1225034820
Provider Name (Legal Business Name): KURTIS SNAY C.R.N.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE 4GN-446 (DEPT. OF ANESTHESIA)
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

177 FORT WASHINGTON AVE 4GN-446 (DEPT. OF ANESTHESIA)
NEW YORK NY
10032-3733
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-6494
  • Fax:
Mailing address:
  • Phone: 212-305-6494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number531798
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: