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General NPI Number Information
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NPI Number | 1609813583
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Entity Type | Organization
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Legal Business Name | AMBULATORY MEDICAL ANESTHESIA SERVICE, PC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 945 SWEET HOME RD
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City | AMHERST
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State | NY
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Zip | 14226-1241
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Country | US
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Telephone | 716-831-9435
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71852
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City | PHILADELPHIA
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State | PA
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Zip | 19176-1852
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Country | US
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Telephone | 716-389-3291
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Fax | 716-639-1382
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DAVID ANTHONE
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Credential | MD
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Telephone | 716-389-3291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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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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