Organization
INDEPENDENT ANESTHESIA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO LUCIANO CRNA (AUTHORIZED OFFICIAL)
(201) 804-2800
Entity
Organization
Contact information
Practice address
1150 AMBOY AVE, EDISON, NJ 08837-2500
(732) 548-3200
Mailing address
150 L GREAVES LANE, SUITE 452, STATEN ISLAND, NY 10308-2173
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
06/10/2014
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