Organization
SERENITY ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCI MALONE M.D. (PRESIDENT)
(914) 582-4577
Entity
Organization
Contact information
Practice address
1800 CLOVE RD, STATEN ISLAND, NY 10304-1616
(914) 582-4577
Mailing address
25 BEECHMONT PL, NEW ROCHELLE, NY 10804-4509
(914) 582-4577
(914) 235-9564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
203323
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090664
—
NY
Enumeration date
07/22/2010
Last updated
07/22/2010
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