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General NPI Number Information
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NPI Number | 1548126600
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Entity Type | Organization
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Legal Business Name | INNOVATIVE ANESTHESIA PLLC
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 9212 165TH ST
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City | JAMAICA
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State | NY
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Zip | 11433-1104
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Country | US
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Telephone | 917-686-0987
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Fax |
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Provider Business Mailing Address
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Address Line | 336 HILLSIDE AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | USMAN SALEEM
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Credential |
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Telephone | 516-633-1439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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