NPI | 1639110406 |
---|---|
Former Legal Business Name | OUTPATIENT ANESTHESIA SPECIALISTS |
Entity Type | Organization |
Authorized Contact | MOLLY RICHTER Provider Enrollment Manager 516-945-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE 2002102450) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2022-03-03 |