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Organization
YORK ANESTHESIOLOGISTS PLLC
Active
Organization
YORK ANESTHESIOLOGISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDARARAO KOPPOLU M.D. (CHIEF OF ANESTHESIA)
(212) 420-2385
Entity
Organization
Contact information
Practice address
1ST AVENUE AT 16TH ST, BETH ISRAEL MEDICAL CENTER/PETRIE DIVISION, NEW YORK, NY 10003
(212) 420-2385
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
12/20/2012
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