Healthcare Provider Details

I. General information

NPI: 1972591568
Provider Name (Legal Business Name): ROSANGELA PUTRELO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1676 SUNSET AVE
UTICA NY
13502-5416
US

IV. Provider business mailing address

PO BOX 2005
EAST SYRACUSE NY
13057-4505
US

V. Phone/Fax

Practice location:
  • Phone: 315-724-3456
  • Fax:
Mailing address:
  • Phone: 315-449-0513
  • Fax: 315-445-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number189835
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: