Healthcare Provider Details

I. General information

NPI: 1609820752
Provider Name (Legal Business Name): ASSURE ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 SAINT RAYMONDS AVE ANESTHESIA DEPARTMENT
BRONX NY
10461-3124
US

IV. Provider business mailing address

PO BOX A
NORTH BELLMORE NY
11710-0745
US

V. Phone/Fax

Practice location:
  • Phone: 718-430-7473
  • Fax: 718-430-7336
Mailing address:
  • Phone: 800-720-1664
  • Fax: 207-753-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID SOFAIR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-430-7473