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General NPI Number Information
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NPI Number | 1740452036
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Entity Type | Organization
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Legal Business Name | NYGIC ANESTHESIA SERVICES, P.C.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 1200 WATERS PL SUITE M117
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City | BRONX
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State | NY
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Zip | 10461-2728
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Country | US
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Telephone | 718-239-0115
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Fax | 718-239-0446
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Provider Business Mailing Address
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Address Line | 10 COMMERCE DR
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5214
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Country | US
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Telephone | 914-637-3510
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Fax | 914-819-0061
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. MARC E. KOCH
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Credential | M.D.
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Telephone | 914-637-3511
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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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