Basic Information
Provider Information
NPI: 1003242801
EntityType: 2
ReplacementNPI:  
OrganizationName: SNORE ANESTHESIA PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 CATHARINE ST
Address2: P O BOX 550
City: POUGHKEEPSIE
State: NY
PostalCode: 126013100
CountryCode: US
TelephoneNumber: 8668852318
FaxNumber: 8457902675
Practice Location
Address1: 275 7TH AVE
Address2: 3 RD FLOOR
City: NEW YORK
State: NY
PostalCode: 100016708
CountryCode: US
TelephoneNumber: 2127277304
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/25/2013
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MORANKAR
AuthorizedOfficialFirstName: ANAND
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8668852318
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

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

No ID Information.


Home