Anesthesia Affiliate PC

NPI #1538260336 in Fayetteville, New York

Provider Information

NPI Number: 1538260336
Entity Type: Organization
Organization Name: Anesthesia Affiliate PC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 26, 2006
Last Updated: May 19, 2022

Practice Location

Address: 4302 MEDICAL CENTER DR.
Address 2: SUITE 302
City: Fayetteville
State: New York
ZIP Code: 13066-6625
Phone: (315) 422-2222

Authorized Official

Name: DR. JOHN ELLIE SR., MD
Title: PRESIDENT
Phone: (716) 634-4798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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