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Contact Information

RUSSELL M CANDELARIA, CRNA
300 COMMUNITY DR
DEPARTMENT OF ANESTHESIA
MANHASSET, NY11030-3816
 Phone: 516-562-4887
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for RUSSELL M CANDELARIA · (Male)

NPI Number 1104142546
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 04/09/2010
Last updated 04/09/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 503701
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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