Organization
CROSS COUNTY ANESTHESIA CONSULTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDOUARD M BELOTTE (CEO)
(516) 835-6755
Entity
Organization
Contact information
Practice address
1973 UNIVERSITY AVE, BRONX, NY 10453-4404
(718) 708-8000
(718) 708-8001
Mailing address
1973 UNIVERSITY AVE, BRONX, NY 10453-4404
(718) 708-8000
(718) 708-8001
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
221380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221380
STATE LICENSE
NY
Enumeration date
11/24/2015
Last updated
11/24/2015
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