Imelda Canlas, CRNA | |
7035 113th St, Forest Hills, NY 11375-4651 | |
(718) 990-4100 | |
Not Available |
Full Name | Imelda Canlas |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 7035 113th St, Forest Hills, 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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1952450892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 201664 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
Entity Name | Queens County Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437419470 PECOS PAC ID: 0143485706 Enrollment ID: O20120705000025 |
Mailing Address | Practice Location Address |
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Imelda Canlas, CRNA Po Box 270, Massapequa Park, NY 11762-0270 Ph: (631) 264-2035 | Imelda Canlas, CRNA 7035 113th St, Forest Hills, NY 11375-4651 Ph: (718) 990-4100 |
Nadine Campbell, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4090 | |
Dianne Fredd, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4091 | |
Patricia Antoine, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4090 | |
Dr. Isagani Leonardo, C.R.N.A Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4090 |