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NPI Code Detail

MEDICARE: MARCI VIOLA C.R.N.A.

MEDICARE: MARCI VIOLA C.R.N.A.
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 Anesthetist25NJ00240200NJ
2163W00000XRegistered Nurse26NO05571800NJ

General Provider Information

NPI Number : 1487647558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCI VIOLA C.R.N.A.
Provider Business Mailing Address
First Line : 100 ROUTE 59
Second Line : SUITE 105
City : SUFFERN
State : NY
Zip : 10901-4927
Country : US
Telephone Number : 845-357-5775
Fax Number : 845-357-5777
Provider Business Practice Location Address
First Line : 1 BAY AVE
Second Line : ANESTHESIA OFFICE
City : MONTCLAIR
State : NJ
Zip : 07042-4837
Country : US
Telephone Number : 973-429-6219
Fax Number : 845-547-0740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 05/22/2014

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