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Organization
ROSEHOUSE SURGICARE
Active
Organization
ROSEHOUSE SURGICARE
Active
Parent organization
OMNICARE PLUS
Other names
Omnicare Plus
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNICARE PLUS
Authorized official
DR. EVANS CREVECOEUR (PHYSICIAN/CEO)
(718) 433-0044
Entity
Organization
Contact information
Practice address
1975 LINDEN BLVD STE 107, ELMONT, NY 11003-4004
(718) 433-4644
(718) 433-4644
Mailing address
P.O.BOX 30037, ELMONT, NY 11003-0037
(718) 433-0044
(718) 400-4644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1777953-1
NY
174400000X
Specialist
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/01/2010
Last updated
06/18/2015
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