Provider Demographics
NPI:1508910217
Name:QUALITY ANESTHESIA ASSOCIATES LLC
Entity Type:Organization
Organization Name:QUALITY ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MISSIG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:631-446-1190
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-0577
Mailing Address - Country:US
Mailing Address - Phone:631-446-1190
Mailing Address - Fax:
Practice Address - Street 1:5 5TH AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-7368
Practice Address - Country:US
Practice Address - Phone:631-446-1190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY446026-1261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service