Healthcare Provider Details

I. General information

NPI: 1518342575
Provider Name (Legal Business Name): DAMALI AYANA ROBINSON CRNA, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAMALI AYANA CRAWFORD CRNA

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 05/19/2021
Certification Date: 05/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DUBOIS ST
NEWBURGH NY
12550-4851
US

IV. Provider business mailing address

22 IBM ROAD SUITE 210
POUGHKEEPSIE NY
12601
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-4400
  • Fax:
Mailing address:
  • Phone: 845-790-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR14063700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NR14063700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: