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Contact Information

TRI STATE ANESTHESIA, P.C
133 N KINDERKAMACK RD
MONTVALE, NJ07645
 Phone: 845-357-5775
 Fax: 845-357-5777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TRI STATE ANESTHESIA, P.C

NPI Number 1134426182
LBN Legal business name TRI STATE ANESTHESIA, P.C
Authorized official RICHARD CLARKIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2011
Last updated 08/28/2018 - About 8 years ago
Identifiers
NJ Other 223834 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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