Organization
GASTRO ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES N KOPPEL M.D. (PRESIDENT)
(516) 678-4725
Entity
Organization
Contact information
Practice address
3003 NEW HYDE PARK RD, SUITE 309, NEW HYDE PARK, NY 11042-1206
(516) 678-4725
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2030
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02523926
—
NY
Enumeration date
06/22/2005
Last updated
12/20/2019
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