Proactive Anesthesia
Anesthesiology in Albertson, NY. Organization (NPI-2).
NPI number1982153607
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1982153607
- Entity type
- Organization (NPI-2)
- Legal business name
- Proactive Anesthesia
- Organization subpart
- No
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
15 Piper DrAlbertson, NY 11507-1504
Phone 718-782-6380
Mailing address
15 Piper DrAlbertson, NY 11507-1504
Phone 718-782-6380
Authorized official
Parvis Soomekh
Medical Director
5166036151
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