# NORTH SHORE ANESTHESIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124248018
- **Authorized official:** KERRI WOERNER (ADMINISTRATOR)
- **Authorized official phone:** (631) 862-3413

## Contact information

- **Practice address:** 48 ROUTE 25A, SUITE 101, SMITHTOWN, NY 11787-1431
- **Practice address phone:** (631) 862-3540
- **Practice address fax:** (631) 862-3604
- **Mailing address:** 48 ROUTE 25A, SUITE 101, SMITHTOWN, NY 11787-1431
- **Mailing address phone:** (631) 862-3540
- **Mailing address fax:** (631) 862-3604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020