| NPI | 1023513116 |
|---|---|
| Other Name | SOUTHSIDE CARDIAC ANESTHESIA GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |