Organization · Type 2 NPI

Quality Medical Management Corp

Certified Registered Nurse Anesthetist · Port Jefferson Station, NY

NPI number 1114502606 Active

Practice location

1110 Hallock Ave
Port Jefferson Station, NY 11776-1210

Mailing address

PO Box 577
Islip, NY 11751-0577

Other practice locations

  • 1149 Old Country Rd, Riverhead, NY 11901-2057 · (631) 591-9003
  • 1324 Motor Pkwy Ste 101, Islandia, NY 11749-5226 · (631) 979-0222
  • 160 Howells Rd Ste 16, Bay Shore, NY 11706-5320 · (631) 446-1190

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000XNone listed

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

6 other providers at this address

About NPI 1114502606

Quality Medical Management Corp's National Provider Identifier is 1114502606, issued on Mar 16, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 25, 2021.