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Organization

SCHENECTADY ANESTHESIA ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL S HENDRICKSON DO (CORPORATION PRESIDENT)
(518) 374-3123
Entity
Organization

Contact information

Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NY
367500000X
Certified Registered Nurse Anesthetist
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00399202
NY
01
040401000458
FIDELIS
01
1139
CDPHP
01
5301141
GHI
01
GRP401043001
BLUE SHIELD NENY
01
SC0W446110
EMPIRE BLUE CROSS
01
SP0500
MVP
Enumeration date
08/02/2005
Last updated
07/21/2022
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