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NPI Code Detail

MEDICARE: ANESTHESIA ASSOCIATES OF LONG BEACH, PLLC

MEDICARE: ANESTHESIA ASSOCIATES OF LONG BEACH, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568417624
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA ASSOCIATES OF LONG BEACH, PLLC
Provider Business Mailing Address
First Line : PO BOX 270
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-0270
Country : US
Telephone Number : 631-264-2035
Fax Number : 631-264-1418
Provider Business Practice Location Address
First Line : 455 E BAY DR
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2301
Country : US
Telephone Number : 516-897-1347
Fax Number : 516-897-4317
Authorized Official
Title or Position : OWNER
Name : STEVEN JAY FELDSTEIN
Credential : M.D.
Telephone Number : 516-897-1347
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/22/2007

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