Individual provider · Type 1 NPI

Petr Kanevskiy

Certified Registered Nurse Anesthetist · Huntington, NY

NPI number 1417867698 Active

Practice location

270 Park Ave
Huntington, NY 11743-2787

Mailing address

100 Village Sq Apt 203
Glen Cove, NY 11542-2598

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X788151 (NY)
Certified Registered Nurse Anesthetist Primary 367500000X788151 (NY)

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…

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About NPI 1417867698

Petr Kanevskiy's National Provider Identifier is 1417867698, issued on Sep 9, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Huntington, NY. The record was last updated on Sep 9, 2026.