Provider Demographics
NPI:1841585296
Name:CROWELL, KATHLEEN M (CRNA)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:CROWELL
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:22 IBM ROAD, SUITE 210
Mailing Address - Street 2:EAST MANHATTAN ANESTHESIA PARTNERS, LLC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:866-868-8415
Mailing Address - Fax:845-790-2613
Practice Address - Street 1:310 EAST 14TH STREET
Practice Address - Street 2:NY EYE & EAR INFIRMARY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-979-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY584381367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered