Organization · NPI-2
Spartan Anesthesia PLLC
Anesthesiology · Fresh Meadows, NY
NPI number1710500327
StatusActive
Last updated in NPPESMay 19, 2020
Details
- NPI
- 1710500327
- Entity type
- Organization (NPI-2)
- Legal business name
- Spartan Anesthesia PLLC
- Organization subpart
- No
- Enumeration date
- May 19, 2020
- Certification date
- May 19, 2020
- Last updated
- May 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
7103 170th StFresh Meadows, NY 11365-3333
Phone 917-568-8809 · Fax 800-557-3140
Mailing address
7103 170th StFresh Meadows, NY 11365-3333
Phone 917-568-8809 · Fax 800-557-3140
Authorized official
Joshua Sisser
Provider And Owner
9175688809
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