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Organization
WESTCHESTER AMBULATORY ANESTHESIA, PLLC
Active
Organization
WESTCHESTER AMBULATORY ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BROCCOLI MD (OWNER)
(914) 844-2864
Entity
Organization
Contact information
Practice address
16 S BEDFORD RD, SUITE 3W, CHAPPAQUA, NY 10514-3464
(914) 844-2864
Mailing address
16 S BEDFORD RD, SUITE 3W, CHAPPAQUA, NY 10514-3464
(914) 844-2864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1439052
NY
207L00000X
Anesthesiology Physician
Primary
193448
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
1439052
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
193448
NY
207LP3000X
Pediatric Anesthesiology Physician
1439052
NY
207LP3000X
Pediatric Anesthesiology Physician
193448
NY
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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