Organization
HEIGHTS SURGICARE
Active
Parent organization
BROOKLYN ANESTHESIA GROUP
Other names
HEIGHTS SURGICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKLYN ANESTHESIA GROUP
Authorized official
DR. EVANS CREVECOEUR (PHYSICIAN /CEO)
(718) 433-0044
Entity
Organization
Contact information
Practice address
629 W 185TH ST 5TH FLOOR, NEW YORK, NY 10033-3102
(718) 433-0044
(718) 433-4644
Mailing address
PO BOX 30037, ELMONT, NY 11003-0037
(718) 433-0044
(718) 433-4644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
177953-1
NY
Other
Enumeration date
10/01/2010
Last updated
10/06/2010
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