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Organization
SOUTH BAY ANESTHES ASSOC., LLP
Active
Organization
SOUTH BAY ANESTHES ASSOC., LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MERRIHEW M.D. (MANAGING PARTNER)
(631) 968-3163
Entity
Organization
Contact information
Practice address
301 E MAIN ST, ANESTHESIA DEPARTMENT, BAY SHORE, NY 11706-8408
(631) 968-3163
Mailing address
PO BOX 29140, NEW YORK, NY 10087-9140
(800) 720-1664
(207) 753-2020
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
—
01856835
—
NY
01
—
CN2724
RAILROAD MEDICARE
—
Enumeration date
05/23/2006
Last updated
04/26/2010
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