Provider Demographics
NPI:1841303997
Name:ROCKVILLE ANESTHESIA GROUP LLP
Entity type:Organization
Organization Name:ROCKVILLE ANESTHESIA GROUP LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:PINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-764-2115
Mailing Address - Street 1:55 MAPLE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4274
Mailing Address - Country:US
Mailing Address - Phone:516-764-1227
Mailing Address - Fax:516-764-1323
Practice Address - Street 1:55 MAPLE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4274
Practice Address - Country:US
Practice Address - Phone:516-764-1227
Practice Address - Fax:516-764-1323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01177706Medicaid
NYW93771Medicare PIN