Healthcare Provider Details

I. General information

NPI: 1316170269
Provider Name (Legal Business Name): YANA KRMIC CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 11/27/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DUBOIS STREET ST. LUKES/CORNWALL HOSPITAL
NEWBURGH NY
12550
US

IV. Provider business mailing address

41 DRIFTWOOD YANA KRMIC, CRNA, PC
SOMERS NY
10589-1607
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-4400
  • Fax:
Mailing address:
  • Phone: 347-675-2351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number542528
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number542528-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: