Provider Demographics
NPI:1831436435
Name:ANESTHESIA CARE, P.C.
Entity type:Organization
Organization Name:ANESTHESIA CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:REUBEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:IBARRETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-679-0009
Mailing Address - Street 1:565 PLANDOME ROAD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:212-679-0009
Mailing Address - Fax:212-629-0054
Practice Address - Street 1:565 PLANDOME ROAD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:212-679-0009
Practice Address - Fax:212-629-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty