Provider Demographics
NPI:1689746646
Name:FRC ANESTHESIA GROUP, PLLC
Entity Type:Organization
Organization Name:FRC ANESTHESIA GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-697-7817
Mailing Address - Street 1:108 BURNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1935
Mailing Address - Country:US
Mailing Address - Phone:917-697-7817
Mailing Address - Fax:516-625-4974
Practice Address - Street 1:1829 E 13TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2807
Practice Address - Country:US
Practice Address - Phone:718-627-8300
Practice Address - Fax:718-627-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232855207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty