Provider Demographics
NPI:1396002556
Name:NY MONITORED ANESTHESIA CARE PC
Entity Type:Organization
Organization Name:NY MONITORED ANESTHESIA CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-224-1600
Mailing Address - Street 1:134 THE DELL
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1041
Mailing Address - Country:US
Mailing Address - Phone:718-224-1600
Mailing Address - Fax:718-224-8085
Practice Address - Street 1:134 THE DELL
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1041
Practice Address - Country:US
Practice Address - Phone:718-224-1600
Practice Address - Fax:718-224-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185465207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty