Organization
NORTH SHORE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI WOERNER (ADMINISTRATOR)
(631) 862-3413
Entity
Organization
Contact information
Practice address
48 ROUTE 25A, SUITE 101, SMITHTOWN, NY 11787-1431
(631) 862-3540
(631) 862-3604
Mailing address
48 ROUTE 25A, SUITE 101, SMITHTOWN, NY 11787-1431
(631) 862-3540
(631) 862-3604
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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