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General NPI Number Information
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NPI Number | 1972734184
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CARE, PC
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 2627 HYLAN BLVD. C/O DR. ALEX BRUCKSTEIN
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 917-406-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 565 PLANDOME RD STE 286
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City | MANHASSET
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State | NY
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Zip | 11030-1945
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Country | US
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Telephone | 917-406-3069
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHAITANYA KADIYALA
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Credential | MD
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Telephone | 917-406-3069
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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 | 232151
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License Number State | NY
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