Provider Demographics
NPI:1922245448
Name:EXPERT ANESTHESIOLOGY SERVICES, P.C.
Entity Type:Organization
Organization Name:EXPERT ANESTHESIOLOGY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERKLAYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-869-7213
Mailing Address - Street 1:20 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530
Mailing Address - Country:US
Mailing Address - Phone:718-869-7213
Mailing Address - Fax:718-869-8506
Practice Address - Street 1:327 BEACH 19 STREET
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691
Practice Address - Country:US
Practice Address - Phone:718-869-7213
Practice Address - Fax:718-869-8506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248814174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty