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NPI Code Detail

MEDICARE: SUNSET ANESTHESIA ASSOCIATES LLP

MEDICARE: SUNSET ANESTHESIA ASSOCIATES LLP
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 : 1689661068
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSET ANESTHESIA ASSOCIATES LLP
Provider Business Mailing Address
First Line : PO BOX 2005
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-4505
Country : US
Telephone Number : 315-362-5129
Fax Number :
Provider Business Practice Location Address
First Line : 1676 SUNSET AVE
Second Line :
City : UTICA
State : NY
Zip : 13502-5416
Country : US
Telephone Number : 315-724-3456
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL TROCUIK
Credential : MD
Telephone Number : 315-724-3456
Provider Enumeration Date : 09/30/2005
Last Update Date : 08/22/2020

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