Basic Information
| Provider Information | |||||||||
| NPI: | 1194062380 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACHEIVEMENT MEDICAL ANESTHESIA PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 137 5TH AVE | ||||||||
| Address2: | FLOOR 7 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100107142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122532118 | ||||||||
| FaxNumber: | 2122532085 | ||||||||
| Practice Location | |||||||||
| Address1: | 137 5TH AVE | ||||||||
| Address2: | FLOOR 7 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100107142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122532118 | ||||||||
| FaxNumber: | 2122532085 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2013 | ||||||||
| LastUpdateDate: | 01/09/2013 | ||||||||
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| AuthorizedOfficialLastName: | LIVITS | ||||||||
| AuthorizedOfficialFirstName: | NATALIA | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 3477426160 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | 153171-1 | NY | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.