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Organization
RIVER EAST ANESTHESIA PRACTICE, PC
Active
Organization
RIVER EAST ANESTHESIA PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE HANLEY MD (AUTH REP)
(212) 423-4075
Entity
Organization
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4075
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2006
Last updated
06/06/2008
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