Provider Demographics
NPI:1619253804
Name:ALTERMAN, KAITLYN R (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:R
Last Name:ALTERMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:R
Other - Last Name:LA FERRARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 27578
Mailing Address - Street 2:BILLING SERVICES INC.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-7578
Mailing Address - Country:US
Mailing Address - Phone:631-329-6925
Mailing Address - Fax:631-329-6951
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:STE. 853W, HSS DEPT. OF ANESTHESIOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:212-606-1036
Practice Address - Fax:212-517-4881
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9330722367500000X
NY652770367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400081188Medicare PIN