OrganizationSchenectady Anesthesia Associates, P.C.AnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address1201 Nott St, Suite 106, Schenectady, NY 12308-2589(518) 374-3123PECOS EnrollmentBased on the most recent information from CMS, provider Schenectady Anesthesia Associates, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457352411Provider TypeOrganizationFull NameSchenectady Anesthesia Associates, P.C.SubpartNoEnumeration Date8/2/2005Last Updated7/21/2022Contact InformationPractice LocationPractice Address1201 Nott St, Suite 106, Schenectady, NY 12308-2589Phone(518) 374-3123Fax(518) 374-9711Mailing LocationMailing Address1201 Nott St, Suite 106, Schenectady, NY 12308-2589Phone(518) 374-3123Fax(518) 374-9711Authorized OfficialNameHendrickson, Paul S (Corporation President)Phone(518) 374-3123Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerNew YorkCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerNew YorkProvider IdentifiersIDDescriptionIssuerID040401000458DescriptionOtherIssuerFIDELISIDSC0W446110DescriptionOtherIssuerEMPIRE BLUE CROSSID00399202DescriptionMedicaidIssuerUnlistedNew YorkID1139DescriptionOtherIssuerCDPHPID5301141DescriptionOtherIssuerGHIIDGRP401043001DescriptionOtherIssuerBLUE SHIELD NENYIDSP0500DescriptionOtherIssuerMVP