Zachary M Lewter, CRNA | |
355 Bard Ave, Staten Island, NY 10310-1664 | |
(718) 818-1234 | |
Not Available |
Full Name | Zachary M Lewter |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 355 Bard Ave, Staten Island, 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 |
---|---|---|---|
1184081010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-131804 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 730593-1 (New York) | Primary |
Entity Name | Comprehensive Anesthesia Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194704742 PECOS PAC ID: 8123081429 Enrollment ID: O20041108000892 |
Entity Name | Physynergy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
Mailing Address | Practice Location Address |
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Zachary M Lewter, CRNA Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701 | Zachary M Lewter, CRNA 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-1234 |
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