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General NPI Number Information
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NPI Number | 1588918999
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Entity Type | Organization
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Legal Business Name | EASTSIDE ANESTHESIA PLLC
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 460 PARK AVE RM 803
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City | NEW YORK
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State | NY
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Zip | 10022-1837
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Country | US
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Telephone | 212-203-8744
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Fax |
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Provider Business Mailing Address
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Address Line | 133 E 58TH ST STE 306
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City | NEW YORK
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State | NY
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Zip | 10022-1173
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Country | US
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Telephone | 212-203-8744
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Fax | 212-203-8039
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Authorized Official
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Title or Position | OWNER
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Name | DR. BIRAJ PATEL
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Credential |
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Telephone | 212-203-8744
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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 | 247968-1
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License Number State | NY
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