MEDICARE: SEARINGTOWN ANESTHESIA 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	174400000X	Specialist	199684	NY

General Provider Information

NPI Number	:	1811176068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEARINGTOWN ANESTHESIA PC

Provider Business Mailing Address
First Line	:	56 GREEN DR
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-3222
Country	:	US
Telephone Number	:	516-294-9086
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E 79TH ST
Second Line	:	1C
City	:	NEW YORK
State	:	NY
Zip	:	10075-0319
Country	:	US
Telephone Number	:	516-509-5552
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETER
Name	:	AHMED EL SHERYIE
Credential	:
Telephone Number	:	516-509-5552

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	03/18/2008

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