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NPI Code Detail

MEDICARE: GRAMERCY ANESTHESIA CONSULTANTS, PLLC

MEDICARE: GRAMERCY ANESTHESIA CONSULTANTS, 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
1207LP2900XPain Medicine (Anesthesiology) Physician205366NY

General Provider Information

NPI Number : 1669404406
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRAMERCY ANESTHESIA CONSULTANTS, PLLC
Provider Business Mailing Address
First Line : 2076 E 13TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7909
Fax Number : 718-382-7912
Provider Business Practice Location Address
First Line : 2076 E 13TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7909
Fax Number : 718-382-7912
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK GLADSTEIN
Credential : M.D.
Telephone Number : 718-382-7909
Provider Enumeration Date : 07/06/2006
Last Update Date : 10/19/2007

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Directions to “GRAMERCY ANESTHESIA CONSULTANTS, PLLC ” Practice Location

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