Provider Demographics
NPI:1811176068
Name:SEARINGTOWN ANESTHESIA PC
Entity type:Organization
Organization Name:SEARINGTOWN ANESTHESIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:EL SHERYIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-509-5552
Mailing Address - Street 1:56 GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3222
Mailing Address - Country:US
Mailing Address - Phone:516-294-9086
Mailing Address - Fax:
Practice Address - Street 1:120 E 79TH ST
Practice Address - Street 2:1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0319
Practice Address - Country:US
Practice Address - Phone:516-509-5552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199684174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG22954Medicare UPIN
NYWZYWZ1Medicare PIN
NY06857Medicare PIN