Healthcare Provider Details

I. General information

NPI: 1134529035
Provider Name (Legal Business Name): STRATEGY ANESTHESIA NEW YORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 QUEENS BLVD
WOODSIDE NY
11377-4444
US

IV. Provider business mailing address

19644 CLUB HOUSE RD
MONTGOMERY VILLAGE MD
20886-3047
US

V. Phone/Fax

Practice location:
  • Phone: 718-784-4502
  • Fax: 718-784-5180
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: DR. KASHIF IRFAN
Title or Position: OWNER
Credential: M.D.
Phone: 703-665-3046