Organization
CUSTOM ANESTHESIA SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY ZEGELSTEIN M.D. (OWNER)
(917) 822-4074
Entity
Organization
Contact information
Practice address
65A BEVERLY RD, GREAT NECK, NY 11021-1616
(917) 822-4074
(516) 570-2306
Mailing address
65A BEVERLY RD, GREAT NECK, NY 11021-1616
(917) 822-4074
(516) 570-2306
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
160215
NY
Other
Enumeration date
11/24/2006
Last updated
08/28/2015
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