Provider Demographics
NPI:1902025513
Name:ABBOTT ANESTHESIOLOGIST ASSOCIATES PC
Entity Type:Organization
Organization Name:ABBOTT ANESTHESIOLOGIST ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:JARMUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-826-6628
Mailing Address - Street 1:515 ABBOTT RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1700
Mailing Address - Country:US
Mailing Address - Phone:716-826-6628
Mailing Address - Fax:716-828-3448
Practice Address - Street 1:565 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2039
Practice Address - Country:US
Practice Address - Phone:716-826-6628
Practice Address - Fax:716-828-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1083688170OtherLAKSHMANA RAO KONERU
NY1588637680OtherGEORGE H. BANCROFT
NY1922071026OtherGREGORY V. TOBIAS
NY1487627584OtherKENYON W. JONES
NY1467425199OtherIRIS M. HUDSON
NY1912973629OtherNISHI HARVEY
NY1225002405OtherASHOK NYLAKONDA
NY1548233646OtherGEORGE TURCO
NY1003889106OtherSALVATORE J. PARLATO
NY1306819313OtherSTEVEN MOSHIDES
NY1356314470OtherBAL K. KAOUR
NY1508839580OtherDAVID F. MANGAN
NY1528031622OtherSIVA KRISH
NY1801869938OtherSTEPHEN C. GLADYSZ