Glenn G Boettger, CRNA | |
2446 Washington Ave, Oceanside, NY 11572 | |
(516) 536-0946 | |
(516) 536-4495 |
Full Name | Glenn G Boettger |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2446 Washington Ave, Oceanside, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376657601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 4334941 (New York) | Primary |
Entity Name | North American Partners In Anesthesia Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Mailing Address | Practice Location Address |
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Glenn G Boettger, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033 Ph: (703) 295-9360 | Glenn G Boettger, CRNA 2446 Washington Ave, Oceanside, NY 11572 Ph: (516) 536-0946 |
Moira Frances Canty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-4191 | |
Ralph A Leggio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2446 Washington Avenue, Oceanside, NY 11572 Phone: 516-536-0946 Fax: 516-536-4495 | |
Tiffany Rose Magno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: One Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Dr. Jennifer Yu, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-4147 | |
Soja Song, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2446 Washington Avenue, Oceanside, NY 11572 Phone: 516-536-0946 Fax: 516-536-4495 | |
Yelena Feldman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2446 Washington Avenue, Oceanside, NY 11572 Phone: 516-536-0946 |