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Organization

NEW YORK AMBULATORY ANESTHESIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD BROCCOLI MD (OWNER)
(914) 238-5884
Entity
Organization

Contact information

Practice address
16 S BEDFORD RD STE 3W, CHAPPAQUA, NY 10514-3464
(914) 238-5884
Mailing address
16 S BEDFORD RD STE 3W, CHAPPAQUA, NY 10514-3464
(914) 238-5884

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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