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NPI Code Detail

MEDICARE: EDWARD O'LOUGHLIN CRNA

MEDICARE:   EDWARD  O'LOUGHLIN  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
1367500000XCertified Registered Nurse Anesthetist260074NY

General Provider Information

NPI Number : 1285635797
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD O'LOUGHLIN CRNA
Provider Business Mailing Address
First Line : 43 KENSICO DR
Second Line : 2ND FLOOR
City : MOUNT KISCO
State : NY
Zip : 10549-1009
Country : US
Telephone Number : 914-666-8866
Fax Number : 914-666-6777
Provider Business Practice Location Address
First Line : 670 STONELEIGH AVE
Second Line : PUTNAM HOSPITAL
City : CARMEL
State : NY
Zip : 10512-3997
Country : US
Telephone Number : 845-279-5711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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Directions to “ EDWARD O'LOUGHLIN CRNA” Practice Location

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