| 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 | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Maple Gate Anesthesiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528072709 PECOS PAC ID: 8022913839 Enrollment ID: O20031204000851 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Entity Name | Clifton Springs Sanitarium Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
| Mailing Address | Practice Location Address |
|---|---|
| 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: Not Enrolled in Medicare 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 | |
Zachary M Lewter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 | |
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 |