Provider Demographics
NPI:1265617245
Name:LAWRENCE M KAMHI MD ANESTHESIA SVS PC
Entity type:Organization
Organization Name:LAWRENCE M KAMHI MD ANESTHESIA SVS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:KAMHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-624-3034
Mailing Address - Street 1:180 MONTAGUE ST
Mailing Address - Street 2:29E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3607
Mailing Address - Country:US
Mailing Address - Phone:718-624-3034
Mailing Address - Fax:
Practice Address - Street 1:180 MONTAGUE ST
Practice Address - Street 2:29E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3607
Practice Address - Country:US
Practice Address - Phone:718-624-3034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWDW681OtherMEDICARE GROUP NUMBER