Provider Demographics
NPI:1164250114
Name:NEW YORK MEDICAL ANESTHESIA
Entity type:Organization
Organization Name:NEW YORK MEDICAL ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-322-6517
Mailing Address - Street 1:133 E 58TH ST STE 402
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1157
Mailing Address - Country:US
Mailing Address - Phone:646-883-6965
Mailing Address - Fax:844-748-0838
Practice Address - Street 1:133 E 58TH ST STE 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1157
Practice Address - Country:US
Practice Address - Phone:646-883-6965
Practice Address - Fax:844-748-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty