Black Dog Anesthesia Pllc

NPI 1023256203 - Anesthesiology - 207L00000X

NPI Details
NPI 1023256203
Enumeration Date 01/27/2009
Last Updated 01/27/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROSALIE ROSALIE
Position MD
Phone (585) 786-1222
Fax
Practice Location
400 N MAIN ST
WARSAW NY, 14569-1025, US
Phone (585) 786-1222
Fax
Business Location
100 W UNIVERSITY ST
ALFRED NY, 14802-1134, US
Phone (607) 587-9208
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 171396
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According to our database, Black Dog Anesthesia Pllc NPI is 1023256203, taxonomy code is 207L00000X and license number is 171396, license state is located at New York. Black Dog Anesthesia Pllc physically located at 400 N Main St, Warsaw NY, 14569-1025. NPI Number 1033115704 has the healthcare provider type.

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1023256203 NPI number is provided on an as is basis without warranty of any kind. 1023256203 is maintained by the National Plan & Provider Enumeration System. The contents of Black Dog Anesthesia Pllc are for informational purposes only.