Healthcare Provider Details

I. General information

NPI: 1578796504
Provider Name (Legal Business Name): WARWICK ANESTHESIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MAPLE AVE
WARWICK NY
10990-1028
US

IV. Provider business mailing address

PO BOX 875 15 MAPLE AVENUE
WARWICK NY
10990-0875
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-2006
  • Fax: 845-615-1590
Mailing address:
  • Phone: 845-294-2006
  • Fax: 845-615-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MING C CHIOU
Title or Position: PRESIDENT
Credential: MD
Phone: 845-294-2006