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Organization
OMNICARE MULTI SPECIALTY CENTER, LLC
Active
Organization
OMNICARE MULTI SPECIALTY CENTER, LLC
Active
Parent organization
BROOKLYN ANESTHESIA GROUP, P.C.
Other names
Omnicare Anesthesia, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKLYN ANESTHESIA GROUP, P.C.
Authorized official
MRS. REGINE SERRANO PARALEGAL (CREDENTIALING MANAGER)
(718) 774-0171
Entity
Organization
Contact information
Practice address
763-765 NOSTRAND AVENUE, BROOKLYN, NY 11216
(718) 774-0171
(718) 773-7470
Mailing address
763-765 NOSTRAND AVE, BROOKLYN, NY 11216-4203
(718) 774-0171
(718) 773-7470
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
177953
NY
174400000X
Specialist
Primary
177953
NY
Other
Enumeration date
07/22/2011
Last updated
05/02/2014
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