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Organization

NORTH SHORE ANESTHESIA GROUP

Active
Other names
Central Island Hosp. Provider Group, CIH, Central Island Hospital, CIH CCAH, Central Island Hosp.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN BARKEY RDA-A, FASMLAP (ASSISTANT DIRECTOR)
(631) 987-9643
Entity
Organization

Contact information

Practice address
11-52 ENGINEERS ST, HAUPPHAUGE, NY 11788
(631) 987-9643
Mailing address
15 COLUMBUS AVE, KINGS PARK, NY 11754-4902
(631) 987-9643

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
261Q00000X
Clinic/Center
261QA1903X
Ambulatory Surgical Clinic/Center
261QC0050X
Critical Access Hospital Clinic/Center
261QC1500X
Community Health Clinic/Center
261QE0002X
Emergency Care Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
282NC0060X
Critical Access Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
533
DOH DISPOSITION CODE
Enumeration date
08/24/2018
Last updated
10/18/2018
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