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Organization

JAMAICA ANESTHESIOLOGIST, PC

Active
Other names
Jamaica Anesthesia Associates, PC
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOINETTE MORISCO MD (DIRECTOR)
(718) 206-6088
Entity
Organization

Contact information

Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6088
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4163

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LA0401X
Addiction Medicine (Anesthesiology) Physician
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00977871
NY
Enumeration date
05/26/2006
Last updated
07/10/2015
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