Provider Demographics
NPI:1063605038
Name:MSIMANGA, ELEANOR M (CRNA)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:M
Last Name:MSIMANGA
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:630 LENOX AVE
Mailing Address - Street 2:APT. 10C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1247
Mailing Address - Country:US
Mailing Address - Phone:212-690-0740
Mailing Address - Fax:
Practice Address - Street 1:600 E 233RD ST
Practice Address - Street 2:OUR LADY OF MERCY MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-920-9510
Practice Address - Fax:718-920-9582
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY450888367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered