Provider Demographics
NPI:1962826412
Name:TRIBORO ANESTHESIA PLLC
Entity Type:Organization
Organization Name:TRIBORO ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDROV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-687-2010
Mailing Address - Street 1:50 VALLEY LN W
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3633
Mailing Address - Country:US
Mailing Address - Phone:718-687-2010
Mailing Address - Fax:
Practice Address - Street 1:50 VALLEY LN W
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3633
Practice Address - Country:US
Practice Address - Phone:718-687-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty