Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Black Dog Anesthesia PLLC

Organization Anesthesiology Physician · NPI 1023256203

Black Dog Anesthesia PLLC is an Anesthesiology Physician in Warsaw, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 N Main St
Warsaw, NY 14569-1025
Phone: (585) 786-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 171396 (NY)

Record details

NPI number1023256203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosalie Keith — Md · (607) 587-9208
NPI enumeratedJanuary 27, 2009
Last updated in NPPESJanuary 27, 2009
Mailing address100 W University St, Alfred, NY 14802-1134

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