Organization
PROFESSIONAL OFFICE ANESTHESIA, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA SABZANOVA MD (PRESIDENT)
(718) 795-7407
Entity
Organization
Contact information
Practice address
6532 ELLWELL CRES, REGO PARK, NY 11374-5032
(718) 795-7407
Mailing address
6532 ELLWELL CRES, REGO PARK, NY 11374-5032
(718) 795-7407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
220227
NY
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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