Provider Demographics
NPI:1225224033
Name:FRIENDLY ANESTHESIA PC
Entity Type:Organization
Organization Name:FRIENDLY ANESTHESIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-536-2377
Mailing Address - Street 1:2935 ROCKAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1844
Mailing Address - Country:US
Mailing Address - Phone:516-536-2377
Mailing Address - Fax:516-536-2377
Practice Address - Street 1:2935 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1844
Practice Address - Country:US
Practice Address - Phone:516-536-2377
Practice Address - Fax:516-536-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-15
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222944207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty