Organization
SO WESTCHESTER ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONA Y PAN M.D. (OWNER)
(914) 319-3135
Entity
Organization
Contact information
Practice address
62 PIETRO DR, YONKERS, NY 10710-2010
(914) 319-3135
(631) 415-1334
Mailing address
62 PIETRO DR, YONKERS, NY 10710-2010
(914) 319-3135
(631) 415-1334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
224543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02387497
—
NY
Enumeration date
10/05/2011
Last updated
04/10/2012
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