Healthcare Provider Details

I. General information

NPI: 1376916890
Provider Name (Legal Business Name): GENESEE ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2015
Last Update Date: 11/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 FRENCH RD
UTICA NY
13502-5934
US

IV. Provider business mailing address

3943 IRVINE BLVD STE 628
IRVINE CA
92602-2400
US

V. Phone/Fax

Practice location:
  • Phone: 315-798-8737
  • Fax: 315-732-1702
Mailing address:
  • Phone: 703-665-3046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KASHIF ARFIN
Title or Position: SOLE MEMBER
Credential:
Phone: 703-665-3057