MEDICARE: FRIENDLY ANESTHESIA PC

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	222944	NY

General Provider Information

NPI Number	:	1225224033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY ANESTHESIA PC

Provider Business Mailing Address
First Line	:	2935 ROCKAWAY AVE
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1844
Country	:	US
Telephone Number	:	516-536-2377
Fax Number	:	516-536-2377

Provider Business Practice Location Address
First Line	:	2935 ROCKAWAY AVE
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1844
Country	:	US
Telephone Number	:	516-536-2377
Fax Number	:	516-536-2377

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. LILYA GARBER
Credential	:	M.D.
Telephone Number	:	516-536-2377

Provider Enumeration Date	:	09/15/2007
Last Update Date	:	09/19/2007

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