Healthcare Provider Details

I. General information

NPI: 1972695658
Provider Name (Legal Business Name): AR ANESTHESIA AND PAIN MANAGEMENT SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 02/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2269 OCEAN AVE
BROOKLYN NY
11229-3103
US

IV. Provider business mailing address

PO BOX 270
MASSAPEQUA PARK NY
11762-0270
US

V. Phone/Fax

Practice location:
  • Phone: 718-787-0387
  • Fax:
Mailing address:
  • Phone: 631-264-2035
  • Fax: 631-264-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number199051
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number199051
License Number StateNY

VIII. Authorized Official

Name: ALEXANDER RIPS
Title or Position: OWNER
Credential: M.D.
Phone: 718-787-0387