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NPI Code Detail

MEDICARE: AMERICAN ANESTHESIA ASSOCIATE P C

MEDICARE: AMERICAN ANESTHESIA ASSOCIATE P C
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
1207L00000XAnesthesiology Physician246186NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992194864
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN ANESTHESIA ASSOCIATE P C
Provider Business Mailing Address
First Line : 2512 148TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1433
Country : US
Telephone Number : 718-200-0723
Fax Number : 516-706-6026
Provider Business Practice Location Address
First Line : 2512 148TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1433
Country : US
Telephone Number : 718-219-2207
Fax Number :
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : MUHAMMAD A MOMEN
Credential :
Telephone Number : 718-200-0723
Provider Enumeration Date : 01/15/2015
Last Update Date : 07/07/2016

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