Healthcare Provider Details

I. General information

NPI: 1457352411
Provider Name (Legal Business Name): SCHENECTADY ANESTHESIA ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 NOTT ST SUITE 106
SCHENECTADY NY
12308-2589
US

IV. Provider business mailing address

1201 NOTT ST SUITE 106
SCHENECTADY NY
12308-2589
US

V. Phone/Fax

Practice location:
  • Phone: 518-374-3123
  • Fax: 518-374-9711
Mailing address:
  • Phone: 518-374-3123
  • Fax: 518-374-9711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. PAUL S HENDRICKSON
Title or Position: CORPORATION PRESIDENT
Credential: DO
Phone: 518-374-3123