Basic Information
Provider Information
NPI: 1285886747
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DALELA
FirstName: SANJEEV
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 550, 2 CATHARINE STREET
Address2: PARK SLOPE ANESTHESIA ASSOCIATES, PC
City: POUGHKEEPSIE
State: NY
PostalCode: 126020550
CountryCode: US
TelephoneNumber: 8668688416
FaxNumber: 8457902675
Practice Location
Address1: 506 6TH STREET
Address2: NY METHODIST HOSPITAL
City: BROOKLYN
State: NY
PostalCode: 112153609
CountryCode: US
TelephoneNumber: 7187803279
FaxNumber: 7187803281
Other Information
ProviderEnumerationDate: 10/16/2008
LastUpdateDate: 10/01/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X268771NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X268771-1NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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