Provider Demographics
NPI:1609854801
Name:GUROVA, GALINA (CRNA)
Entity Type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:GUROVA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1927 78TH ST
Mailing Address - Street 2:APT 2-B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1248
Mailing Address - Country:US
Mailing Address - Phone:718-375-9633
Mailing Address - Fax:
Practice Address - Street 1:150 55 STREET
Practice Address - Street 2:LUTHERAN MEDICAL CENTER DEPT OF ANESTHESIOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-630-7452
Practice Address - Fax:718-630-6399
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4754221367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered