Provider Demographics
NPI:1649223488
Name:ANESTHESIA ASSOCIATES OF ST. FRANCIS, P.C
Entity type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF ST. FRANCIS, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DERAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-452-6835
Mailing Address - Street 1:1 WEBSTER AVE
Mailing Address - Street 2:SUITE 505
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1361
Mailing Address - Country:US
Mailing Address - Phone:845-452-0555
Mailing Address - Fax:845-452-0550
Practice Address - Street 1:1 WEBSTER AVE
Practice Address - Street 2:SUITE 505
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1361
Practice Address - Country:US
Practice Address - Phone:845-452-0555
Practice Address - Fax:845-452-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00517799Medicaid
NYW8G741Medicare ID - Type Unspecified