Organization
PROACTIVE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVIS SOOMEKH MD (MEDICAL DIRECTOR)
(516) 603-6151
Entity
Organization
Contact information
Practice address
15 PIPER DR, ALBERTSON, NY 11507-1504
(718) 782-6380
Mailing address
15 PIPER DR, ALBERTSON, NY 11507-1504
(718) 782-6380
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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