Provider Demographics
NPI:1447342274
Name:ROWE, MARIANNE C (CRNA)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:C
Last Name:ROWE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3118
Mailing Address - Street 2:226 E. MAIN ST
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-0810
Mailing Address - Country:US
Mailing Address - Phone:845-343-6216
Mailing Address - Fax:845-343-6228
Practice Address - Street 1:60 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4133
Practice Address - Country:US
Practice Address - Phone:845-343-6216
Practice Address - Fax:845-343-6228
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310743367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR2C091Medicare ID - Type Unspecified