DREAMON ANESTHESIA, PC
Medical Practice at 88 St, New York, NY

License number
New York 223066-1
Category
Medical Practice
Type
Specialist
Owner
Name: LYDIA V GRISHIN MD
Title: DIRECTOR
Phone: (917) 415-8420
Address
Address
22 E 88Th St, New York, NY 10128
National Provider ID: 1881759637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DREAMON ANESTHESIA, PC

New York, NY

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jul 9, 2003
Inactive since:
Jan 25, 2012
Addresses:
1365 York Ave STE 19F, New York, NY 10021 (Physical)
1365 York Ave SUITE 19F, New York, NY 10021 (Physical)
State ID:
2928143
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Lydia Grishin, 1365 York Ave SUITE 19F, New York, NY 10021 (Physical)

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