Organization
AMBULATORY ANESTHESIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA ANNE BRUNO (BILLING MANAGER)
(631) 864-6890
Entity
Organization
Contact information
Practice address
989 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-6893
Mailing address
989 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-6893
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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