Organization
ANESTAT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. DERDZINSKI M.D. (OWNER)
(646) 957-1392
Entity
Organization
Contact information
Practice address
2281 OCEAN PKWY, BROOKLYN, NY 11223-5128
(718) 375-2777
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
245345
NY
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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