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General NPI Number Information
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NPI Number | 1013137207
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Entity Type | Organization
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Legal Business Name | PARKSLOPEANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 506 6TH ST ANESTHESIA DEPARTMENT
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-3000
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Fax | 718-780-3281
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Provider Business Mailing Address
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Address Line | 506 6TH ST ANESTHESIA DEPARTMENT- 3TH FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-3279
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Fax | 718-780-3281
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Authorized Official
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Title or Position | CHIEF OF ANESTHESIOLOGY DEPT
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Name | JOSEPH SCHIANODECOLA
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Credential | MD
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Telephone | 718-780-3279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 142847-1
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License Number State | NY
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