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Organization
TBHC ANESTHESIOLOGY SERVICES, PC
Active
Organization
TBHC ANESTHESIOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER LUBIN (CHAIRMAN)
(718) 250-8649
Entity
Organization
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8848
(718) 250-8850
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8848
(718) 250-8850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872173
—
NY
01
—
1015507
AETNA
NY
01
—
329476
WORKER'S COMP
NY
01
—
5302227
GHI
NY
Enumeration date
07/10/2006
Last updated
08/22/2020
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