Mr Kent Haina Jr, RN | |
133 Seaman Ave Apt 5a, New York, NY 10034 | |
(773) 749-0559 | |
Not Available |
Full Name | Mr Kent Haina Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 133 Seaman Ave Apt 5a, New York, 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 |
---|---|---|---|
1598114738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 686111 (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 |
Mailing Address | Practice Location Address |
---|---|
Mr Kent Haina Jr, RN 133 Seaman Ave Apt 5a, New York, NY 10034-1947 Ph: (773) 749-0559 | Mr Kent Haina Jr, RN 133 Seaman Ave Apt 5a, New York, NY 10034 Ph: (773) 749-0559 |
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