Basic Information
| Provider Information | |||||||||
| NPI: | 1073685277 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMFORT ANESTHESIA PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 BRODIL CT | ||||||||
| Address2: | |||||||||
| City: | CLOSTER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076242939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2017509865 | ||||||||
| FaxNumber: | 2017509866 | ||||||||
| Practice Location | |||||||||
| Address1: | 55 E 34TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100164337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188151000 | ||||||||
| FaxNumber: | 7188158122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GRUNSTEIN | ||||||||
| AuthorizedOfficialFirstName: | ERNO | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7188151000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.