MEDICARE: GENERAL ANESTHESIA SERVICES,LLP

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	:	1679671150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL ANESTHESIA SERVICES,LLP

Provider Business Mailing Address
First Line	:	75 JACKSON AVE STE 206
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-3141
Country	:	US
Telephone Number	:	631-264-2030
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 JACKSON AVE STE 206
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-3141
Country	:	US
Telephone Number	:	631-264-2030
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	ADAM SHERWOOD
Credential	:	MD
Telephone Number	:	516-674-0404

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/26/2019

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