Organization
MEDICAL ANESTHESIA SPECIALISTS OF NY PC
Active
Organization
MEDICAL ANESTHESIA SPECIALISTS OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1613 NW 136TH AVE, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 452109, SUNRISE, FL 33345-2109
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/09/2006
Last updated
09/17/2019
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