MEDICARE: READY-ONE ANESTHESIA SERVICES, 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

General Provider Information

NPI Number	:	1578884078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	READY-ONE ANESTHESIA SERVICES, PC

Provider Business Mailing Address
First Line	:	10 COMMERCE DR
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-5253
Country	:	US
Telephone Number	:	914-637-3510
Fax Number	:	914-819-0061

Provider Business Practice Location Address
First Line	:	62 E 88TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	212-876-7000
Fax Number	:	212-876-3200

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. MARC E KOCH
Credential	:	MD
Telephone Number	:	914-637-3511

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	06/18/2010

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