Organization
ISLAND AMBULATORY ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA MADDINENI MD (PARTNER)
(631) 736-4064
Entity
Organization
Contact information
Practice address
761 MIDDLE COUNTRY RD, SELDEN, NY 11784-2502
(631) 736-4064
(631) 736-1332
Mailing address
761 MIDDLE COUNTRY RD, SELDEN, NY 11784-2502
(631) 736-4064
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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