Healthcare Provider Details

I. General information

NPI: 1700271228
Provider Name (Legal Business Name): EAST MANHATTAN ANESTHESIA PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CATHARINE ST
POUGHKEEPSIE NY
12601-3100
US

IV. Provider business mailing address

2 CATHARINE ST
POUGHKEEPSIE NY
12601-3100
US

V. Phone/Fax

Practice location:
  • Phone: 845-790-2614
  • Fax: 845-790-2613
Mailing address:
  • Phone: 845-790-2614
  • Fax: 845-790-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number2256531
License Number StateNY

VIII. Authorized Official

Name: LIU QING
Title or Position: ANESTHESIOLOGIST
Credential: M.D.
Phone: 845-790-2614