Organization
HERITAGE ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP SHULTES MD (PRESIDENT)
(518) 791-1562
Entity
Organization
Contact information
Practice address
45 HUDSON AVE, GLENS FALLS, NY 12801-4313
(315) 449-0513
(315) 362-5120
Mailing address
16 HERITAGE PT, QUEENSBURY, NY 12804-9777
(518) 791-1562
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
209294
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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