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Organization
UPSTATE ANESTHESIA SERVICES, P.C.
Active
Organization
UPSTATE ANESTHESIA SERVICES, P.C.
Active
Other names
Long Island Anesthesia Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(914) 491-9495
Entity
Organization
Contact information
Practice address
2201 HEMPSTEAD TPKE DEPT OF, EAST MEADOW, NY 11554-1859
(877) 580-4635
Mailing address
450 MAMARONECK AVE, HARRISON, NY 10528-2400
(914) 495-9495
(914) 365-6307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02890242
—
NY
Enumeration date
06/11/2007
Last updated
07/09/2026
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