Organization
NASSAU ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 741-0570
Mailing address
PO BOX 744953, ATLANTA, GA 30374-4953
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
230022-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02576649
—
NY
01
—
9L0981
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
12/05/2014
Last updated
09/17/2019
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