Organization
MAINLINE ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN AZNAVOORIAN M.D. (OWNER)
(917) 734-2288
Entity
Organization
Contact information
Practice address
1 E 68TH ST, NEW YORK, NY 10021-4903
(212) 570-6945
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
—
—
Other
Enumeration date
01/09/2007
Last updated
08/22/2007
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