1184818163 NPI number — DREAMSCAPE ANESTHESIA SERVICES, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184818163 NPI number — DREAMSCAPE ANESTHESIA SERVICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DREAMSCAPE ANESTHESIA SERVICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184818163
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24506 JERICHO TPKE
Provider Second Line Business Mailing Address:
LL-106
Provider Business Mailing Address City Name:
FLORAL PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11001-3923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-207-8639
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
620 COLUMBUS AVE
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10024-1458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-207-8639
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHAUDHRY
Authorized Official First Name:
HAROON
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
646-207-8639

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  211953 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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