Provider Demographics
NPI:1902017023
Name:SWEET DREAMS ANESTHESIA, PC
Entity Type:Organization
Organization Name:SWEET DREAMS ANESTHESIA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-352-8880
Mailing Address - Street 1:11064 QUEENS BLVD
Mailing Address - Street 2:SUITE 282
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6347
Mailing Address - Country:US
Mailing Address - Phone:516-352-8880
Mailing Address - Fax:516-352-8518
Practice Address - Street 1:11064 QUEENS BLVD
Practice Address - Street 2:SUITE 282
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6347
Practice Address - Country:US
Practice Address - Phone:516-352-8880
Practice Address - Fax:516-352-8518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189467207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW19091Medicare PIN
NYG20895Medicare UPIN