Black Dog Anesthesia PLLC

Organization Active NPI Anesthesiology Physician · Warsaw, NY

NPI 1023256203 · NPPES record last updated Jan 27, 2009

Key facts

NPI
1023256203
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
License
171396 (NY)
Legal business name
BLACK DOG ANESTHESIA PLLC
Practice address
400 N Main St
Warsaw, NY 14569-1025
Phone
(585) 786-1222
NPI assigned
Jan 27, 2009
Organization subpart
No

Authorized official

Name
Rosalie Keith
Title
MD
Phone
(607) 587-9208

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X 171396 NY Yes

Addresses

Primary practice location

400 N Main St
Warsaw, NY 14569-1025

Mailing address

100 W University St
Alfred, NY 14802-1134
Phone (607) 587-9208

Other providers in Warsaw, NY

All providers in Warsaw, NY · Anesthesiology Physician in New York

Sources for this page

Verify at the official NPI Registry.