Mr Denis Etta Awu, CRNA | |
133 Park Street, Malone, NY 12953 | |
(678) 665-1056 | |
Not Available |
Full Name | Mr Denis Etta Awu |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 133 Park Street, Malone, 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 |
---|---|---|---|
1912366469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 110076 (Georgia) | Primary |
Entity Name | Maple Gate Anesthesiologists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528072709 PECOS PAC ID: 8022913839 Enrollment ID: O20031204000851 |
Mailing Address | Practice Location Address |
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Mr Denis Etta Awu, CRNA 133 Park Street, Malone, NY 12953 Ph: (678) 665-1056 | Mr Denis Etta Awu, CRNA 133 Park Street, Malone, NY 12953 Ph: (678) 665-1056 |
James A Durling, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 Fax: 518-483-0860 | |
Matthew T Lasky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 Fax: 518-483-0860 | |
William D Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 | |
Niles L Bennett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 |