Organization
AESTHETIC ANESTHESIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VANDERSLICE M.D. (OWNER)
(631) 264-2035
Entity
Organization
Contact information
Practice address
801 AVENUE N, BROOKLYN, NY 11230-5717
(718) 627-6800
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
12/04/2012
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