MEDICARE: CENTURION MIDTOWN ANESTHESIA 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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1750087854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTURION MIDTOWN ANESTHESIA PLLC

Provider Business Mailing Address
First Line	:	811 WILSON ST
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-3527
Country	:	US
Telephone Number	:	718-550-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1049 5TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0115
Country	:	US
Telephone Number	:	917-981-8762
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. AVISHAI NEUMAN
Credential	:	MD
Telephone Number	:	718-550-8600

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	04/24/2026

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