MEDICARE: PARK HILL AMBULATAORY ANESTHESIOLOGY SERVICES OF NEW YORK, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	144872	NY

General Provider Information

NPI Number	:	1124324314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK HILL AMBULATAORY ANESTHESIOLOGY SERVICES OF NEW YORK, P.C.

Provider Business Mailing Address
First Line	:	954 LEXINGTON AVE
Second Line	:	SUITE 295
City	:	NEW YORK
State	:	NY
Zip	:	10021-5055
Country	:	US
Telephone Number	:	212-879-1705
Fax Number	:	212-879-4025

Provider Business Practice Location Address
First Line	:	120 E 79TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-0319
Country	:	US
Telephone Number	:	212-879-1705
Fax Number	:	212-879-4025

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN A DIGIOVANNI
Credential	:	M.D.
Telephone Number	:	212-879-1705

Provider Enumeration Date	:	02/04/2011
Last Update Date	:	02/04/2011

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