Provider Demographics
NPI:1679671150
Name:GENERAL ANESTHESIA SERVICES,LLP
Entity type:Organization
Organization Name:GENERAL ANESTHESIA SERVICES,LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-674-0404
Mailing Address - Street 1:75 JACKSON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3141
Mailing Address - Country:US
Mailing Address - Phone:631-264-2030
Mailing Address - Fax:
Practice Address - Street 1:75 JACKSON AVE STE 206
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3141
Practice Address - Country:US
Practice Address - Phone:631-264-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEK781Medicare PIN