Carllyne A Moran, CRNA | |
100 Woods Rd, Anesthesia Department, Valhalla, NY 10595-1530 | |
(914) 493-2844 | |
(703) 563-6256 |
Full Name | Carllyne A Moran |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Woods Rd, Valhalla, 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 |
---|---|---|---|
1316179831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 548599 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 548599 (New York) | Primary |
Entity Name | American Anesthesiology Of New York, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114973724 PECOS PAC ID: 9537050968 Enrollment ID: O20040323001912 |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Entity Name | Fpa Hospital Based |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
Entity Name | Singular Anesthesia Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881086718 PECOS PAC ID: 7618284092 Enrollment ID: O20150917000516 |
Entity Name | North Shore - Lij Anesthesiology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
Mailing Address | Practice Location Address |
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Carllyne A Moran, CRNA 11781 Lee Jackson Memorial Hwy, Suite 550, Fairfax, VA 22033-3309 Ph: (571) 777-5102 | Carllyne A Moran, CRNA 100 Woods Rd, Anesthesia Department, Valhalla, NY 10595-1530 Ph: (914) 493-2844 |