Healthcare Provider Details

I. General information

NPI: 1639137854
Provider Name (Legal Business Name): NORTH AMERICAN PARTNERS IN ANESTHESIA, PENNSYLVANIA , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 WALT WHITMAN RD STE 300
MELVILLE NY
11747-4300
US

IV. Provider business mailing address

PO BOX 275
GLEN HEAD NY
11545-0275
US

V. Phone/Fax

Practice location:
  • Phone: 516-946-3000
  • Fax: 516-945-3131
Mailing address:
  • Phone: 516-945-3000
  • Fax: 516-945-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAUREN BREITSTEIN
Title or Position: PROVIDER ENROLLMENT MANAGER
Credential:
Phone: 516-945-3000