Healthcare Provider Details

I. General information

NPI: 1306875216
Provider Name (Legal Business Name): ADVANCED OFFICE ANESTHESIOLOGY CONSULTANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 EAST MONTAUK HIGHWAY SUITE 1
HAMPTON BAYS NY
11946
US

IV. Provider business mailing address

PO BOX 7025
AMAGANSETT NY
11930
US

V. Phone/Fax

Practice location:
  • Phone: 631-726-8350
  • Fax: 631-726-8519
Mailing address:
  • Phone: 888-877-3850
  • Fax: 631-329-6951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY M MULLER
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 631-726-8350