Healthcare Provider Details

I. General information

NPI: 1518912302
Provider Name (Legal Business Name): ANESTHESIOLOGY ASSOCIATES OF BORO PARK, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 10TH AVE
BROOKLYN NY
11219-2844
US

IV. Provider business mailing address

931 FORTY EIGHT STREET
BROOKLYN NY
11219-2919
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-8816
  • Fax:
Mailing address:
  • Phone: 718-283-8816
  • Fax: 718-851-4892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK A. KRONENFELD
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: MD
Phone: 718-283-8816