Organization
LYNBROOK ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(914) 637-3511
Entity
Organization
Contact information
Practice address
4604 31ST AVE, ASTORIA, NY 11103-1842
(718) 545-5050
(718) 545-5052
Mailing address
450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
04/19/2019
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