Healthcare Provider Details

I. General information

NPI: 1154379519
Provider Name (Legal Business Name): ANESTHESIA CONSULTANT ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 ELMWOOD AVE KENMORE MERCY HOSPITAL
KENMORE NY
14217-1304
US

IV. Provider business mailing address

2333 ELMWOOD AVE SUITE 2
KENMORE NY
14217-2646
US

V. Phone/Fax

Practice location:
  • Phone: 716-447-6100
  • Fax:
Mailing address:
  • Phone: 716-874-1098
  • Fax: 716-874-9616

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. PAUL D'ORAZIO
Title or Position: MANAGING BUSINESS PARTNER
Credential: MD
Phone: 716-874-1098