Provider Demographics
NPI:1437470945
Name:NEW YORK INDEPENDENT PRACTICE OF ANESTHESIA, PC
Entity type:Organization
Organization Name:NEW YORK INDEPENDENT PRACTICE OF ANESTHESIA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:G
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-582-7596
Mailing Address - Street 1:45 PARK AVE
Mailing Address - Street 2:SUITE 1202
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3491
Mailing Address - Country:US
Mailing Address - Phone:347-763-0063
Mailing Address - Fax:347-763-0276
Practice Address - Street 1:45 PARK AVE
Practice Address - Street 2:SUITE 1202
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3491
Practice Address - Country:US
Practice Address - Phone:347-763-0063
Practice Address - Fax:347-763-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty