MEDICARE: LO-WEST ANESTHESIA, 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	:	1679865521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LO-WEST ANESTHESIA, PLLC

Provider Business Mailing Address
First Line	:	32 NORTH WAY
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2214
Country	:	US
Telephone Number	:	914-924-0916
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 NORTH WAY
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2214
Country	:	US
Telephone Number	:	914-924-0916
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT ROTEMAN
Credential	:	M.D.
Telephone Number	:	914-924-0916

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/11/2011

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