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

Dr. Thor Lidasan, MD

Individual provider Anesthesiology Physician · NPI 1003906850

Dr. Thor Lidasan, MD is an Anesthesiology Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

462 1st Ave # A-560
New York, NY 10016-9196
Phone: (212) 562-2300
Fax: (212) 562-3486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 221164 (NY)

Record details

NPI number1003906850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 8, 2007

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