Organization
CENTURION BROOKLYN ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVISHAI NEUMAN (TREASURER)
(718) 550-8600
Entity
Organization
Contact information
Practice address
811 WILSON ST, VALLEY STREAM, NY 11581-3527
(718) 550-8600
Mailing address
811 WILSON ST, VALLEY STREAM, NY 11581-3527
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
227800000X
Certified Respiratory Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245594
LICENSE
NY
Enumeration date
11/10/2014
Last updated
05/08/2024
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