Provider Demographics
NPI:1376558791
Name:THE MOUNT VERNON ANESTHESIA BILLING SERVICE
Entity Type:Organization
Organization Name:THE MOUNT VERNON ANESTHESIA BILLING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE DEPT. OF ANESTHESIA
Authorized Official - Prefix:DR
Authorized Official - First Name:BALASA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-667-8136
Mailing Address - Street 1:12 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2026
Mailing Address - Country:US
Mailing Address - Phone:914-667-8136
Mailing Address - Fax:914-667-8136
Practice Address - Street 1:12 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2026
Practice Address - Country:US
Practice Address - Phone:914-667-8136
Practice Address - Fax:914-667-8136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty