Provider Demographics
NPI:1952387276
Name:LONG ISLAND ANESTHESIA PHYSICIANS LLP
Entity Type:Organization
Organization Name:LONG ISLAND ANESTHESIA PHYSICIANS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-744-6371
Mailing Address - Street 1:333 ROUTE 25A
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778
Mailing Address - Country:US
Mailing Address - Phone:631-744-3671
Mailing Address - Fax:631-744-6187
Practice Address - Street 1:333 ROUTE 25A
Practice Address - Street 2:SUITE 225
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778
Practice Address - Country:US
Practice Address - Phone:631-744-3671
Practice Address - Fax:631-744-6187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2007-07-12
Deactivation Date:2005-12-20
Deactivation Code:
Reactivation Date:2006-09-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01544187Medicaid
NYW30952Medicare ID - Type Unspecified
NYW30951Medicare ID - Type Unspecified