Provider Demographics
NPI:1609820703
Name:JU, VIRGINIA S (CRNA)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:S
Last Name:JU
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:100 ROUTE 59 STE 105
Mailing Address - Street 2:RAMAPO ANESTHESIOLOGISTS, PC
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4927
Mailing Address - Country:US
Mailing Address - Phone:845-357-5775
Mailing Address - Fax:845-357-5777
Practice Address - Street 1:255 LAFAYETTE AVE
Practice Address - Street 2:RAMAPO ANESTHESIOLOGISTS, PC
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4812
Practice Address - Country:US
Practice Address - Phone:845-368-5039
Practice Address - Fax:845-368-5327
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-12-17
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Provider Licenses
StateLicense IDTaxonomies
NY499162367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
R5C211Medicare ID - Type Unspecified
Q58176Medicare UPIN