Organization
AMERICAN ANESTHESIA ASSOCIATE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD A MOMEN (ADMINISTRATIVE ASSISTANT)
(718) 200-0723
Entity
Organization
Contact information
Practice address
2512 148TH ST, FLUSHING, NY 11354-1433
(718) 219-2207
Mailing address
2512 148TH ST, FLUSHING, NY 11354-1433
(718) 200-0723
(516) 706-6026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
246186
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02584614
—
NY
Enumeration date
01/15/2015
Last updated
07/07/2016
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