Provider Demographics
NPI:1407140288
Name:MISIR, DEEPA (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DEEPA
Middle Name:
Last Name:MISIR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:ARUNA
Other - Middle Name:
Other - Last Name:MISIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:ANESTHESIA DEPARTMENT M-324
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-2949
Mailing Address - Fax:212-746-8563
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:ANESTHESIA DEPARTMENT M-324
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-2949
Practice Address - Fax:212-746-8563
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY477876-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered