MEDICARE: CADS ANESTHESIA SERVICES PLLC

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	:	1619278439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CADS ANESTHESIA SERVICES PLLC

Provider Business Mailing Address
First Line	:	4640 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3333
Country	:	US
Telephone Number	:	718-431-2959
Fax Number	:	718-431-2974

Provider Business Practice Location Address
First Line	:	5223 9TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2913
Country	:	US
Telephone Number	:	718-431-2959
Fax Number	:	718-431-2974

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CHARLES SUEDE
Credential	:	MD
Telephone Number	:	201-804-2800

Provider Enumeration Date	:	11/10/2010
Last Update Date	:	10/11/2016

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