Healthcare Provider Details

I. General information

NPI: 1770885428
Provider Name (Legal Business Name): ANESTHESIA LEADER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 ALGONQUIN DR
CHAPPAQUA NY
10514-2820
US

IV. Provider business mailing address

17 ALGONQUIN DR
CHAPPAQUA NY
10514-2820
US

V. Phone/Fax

Practice location:
  • Phone: 917-805-3280
  • Fax:
Mailing address:
  • Phone: 917-805-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number240161
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number240161
License Number StateNY

VIII. Authorized Official

Name: DR. JOZEF M DEBIEC
Title or Position: OWNER
Credential: M.D.
Phone: 914-681-9089