Organization
ADVANTAGE ANESTHESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI SHARON EISEN M.D. (PRESIDENT)
(516) 456-0356
Entity
Organization
Contact information
Practice address
30 SHEPHERD LN, ROSLYN HEIGHTS, NY 11577-2507
(516) 456-0356
Mailing address
30 SHEPHERD LN, ROSLYN HEIGHTS, NY 11577-2507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2025551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860957
—
NY
Enumeration date
02/14/2007
Last updated
08/22/2020
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