Organization
COMMUNITY ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KOPPEL M.D. (PRESIDENT)
(516) 488-5050
Entity
Organization
Contact information
Practice address
488 GREAT NECK RD, SUITE 300, GREAT NECK, NY 11021-4315
(516) 482-6747
Mailing address
PO BOX 1087, ROCKVILLE CENTRE, NY 11571-1087
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00934914
—
NY
Enumeration date
06/21/2005
Last updated
09/15/2016
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