=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255695706
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST ANESTHESIA PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2012
-----------------------------------------------------
Last Update Date | 07/03/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16 GUION PL SOUND SHORE MEDICAL CENTER ANESTHESIA DEPARTMENT
-----------------------------------------------------
City | NEW ROCHELLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10801-5502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-365-3997
-----------------------------------------------------
Fax | 914-365-5154
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 270
-----------------------------------------------------
City | MASSAPEQUA PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11762-0270
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-264-2035
-----------------------------------------------------
Fax | 631-264-1418
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. GREGORY CADMAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 845-661-2487
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------