Organization · NPI-2

Aesthetic Anesthesiology LLC

Anesthesiology · Brooklyn, NY

NPI number1417044470
StatusActive
Last updated in NPPESDec 4, 2012

Details

NPI
1417044470
Entity type
Organization (NPI-2)
Legal business name
Aesthetic Anesthesiology LLC
Organization subpart
No
Enumeration date
Oct 9, 2006
Last updated
Dec 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

801 Avenue N
Brooklyn, NY 11230-5717

Phone 718-627-6800

Mailing address

Po Box 270
Massapequa Park, NY 11762-0270

Phone 631-264-2035 · Fax 631-264-1418

Authorized official

Timothy Vanderslice
Owner
6312642035

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