Basic Information
Provider Information
NPI: 1366472243
EntityType: 2
ReplacementNPI:  
OrganizationName: WESTCHESTER ANESTHESIOLOGISTS, P.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: AMERICAN ANESTHESIOLOGY OF WHITE PLAINS, P.C.
OtherOrganizationType: 4
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1500 CONCORD TERRACE
Address2: 5TH FLOOR ATTN: MARIA GABBAI
City: SUNRISE
State: FL
PostalCode: 333232815
CountryCode: US
TelephoneNumber: 8002433839
FaxNumber: 8446361410
Practice Location
Address1: 800 WESTCHESTER AVENUE
Address2: N-511
City: RYE BROOK
State: NY
PostalCode: 10573
CountryCode: US
TelephoneNumber: 9144285454
FaxNumber: 9142536900
Other Information
ProviderEnumerationDate: 07/04/2006
LastUpdateDate: 11/05/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MASON
AuthorizedOfficialFirstName: ERIC
AuthorizedOfficialMiddleName: W
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 8002433839
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X NYY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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