IRIS SIMBULAN
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1265050603- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 560 W 168TH ST, NEW YORK, NY, 100323917
- Phone
- (212) 305-4318
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: NY #717105
Nurse Anesthetist, Certified Registered
Primary License: KY #4000482