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Organization
SUNRISE ANESTHESIA ASSOCIATES, PC
Active
Organization
SUNRISE ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YA-TSENG WILLIAM LU M.D. (MD)
(718) 815-1000
Entity
Organization
Contact information
Practice address
78 TODT HILL ROAD, STATEN ISLAND, NY 10314-4538
(718) 815-1000
(718) 815-8122
Mailing address
302 MANOR ROAD, STATEN ISLAND, NY 10314-2408
(718) 815-1000
(718) 815-8122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
185824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01475983
—
NY
01
—
25MA05042800
LIC
NJ
Enumeration date
05/20/2006
Last updated
10/03/2012
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