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Organization

COASTAL ANESTHESIA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS RODITIS M.D. (PRESIDENT)
(718) 932-6000
Entity
Organization

Contact information

Practice address
2318 31ST ST, SUITE 300, ASTORIA, NY 11105-2892
(718) 932-6000
(718) 932-3194
Mailing address
2318 31ST ST, SUITE 300, ASTORIA, NY 11105-2892
(718) 932-6000
(718) 932-3194

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/13/2006
Last updated
08/22/2020
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