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General NPI Number Information
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NPI Number | 1750087854
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Entity Type | Organization
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Legal Business Name | CENTURION MIDTOWN ANESTHESIA PLLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 1049 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0115
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Country | US
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Telephone | 917-981-8762
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Fax |
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Provider Business Mailing Address
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Address Line | 811 WILSON ST
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City | VALLEY STREAM
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State | NY
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Zip | 11581-3527
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Country | US
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Telephone | 718-301-8600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. AVISHAI NEUMAN
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Credential | MD
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Telephone | 917-681-4963
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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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