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Organization
INTERBOROUGH ANESTHESIA PLLC
Active
Organization
INTERBOROUGH ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FENAR THEMISTOCLE MD (DOCTOR)
(718) 708-8000
Entity
Organization
Contact information
Practice address
1973 UNIVERSITY AVE, BRONX, NY 10453-4404
(718) 708-8000
Mailing address
PO BOX 520390, FLUSHING, NY 11355-0390
(718) 755-0656
(888) 500-0406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2177441
NY
Other
Enumeration date
08/29/2012
Last updated
07/22/2014
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