MEDICARE: MRS. MARION CONSTANTIA ENGLISH-ROWE CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	436083-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225281207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARION CONSTANTIA ENGLISH-ROWE CRNA

Provider Business Mailing Address
First Line	:	1245 E 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4927
Country	:	US
Telephone Number	:	715-241-6081
Fax Number	:	718-241-6081

Provider Business Practice Location Address
First Line	:	1245 E 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4927
Country	:	US
Telephone Number	:	718-241-6081
Fax Number	:	718-241-6081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	04/27/2011

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