# OMNICARE MULTI SPECIALTY,PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OMNICARE ANESTHESIA, PC
- **Other names:** OMNICARE MULTI SPECIALTY,PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841655297
- **Legal business name:** OMNICARE ANESTHESIA, PC
- **Authorized official:** MRS. EVANS CREVECOEUR CEO/ M.D (PHYSICIANS)
- **Authorized official phone:** (718) 433-0044

## Contact information

- **Practice address:** 765 NOSTRAND AVE, BROOKLYN, NY 11216-4203
- **Practice address phone:** (718) 433-0044
- **Practice address fax:** (718) 433-4644
- **Mailing address:** 3636 33RD ST, 211, LONG ISLAND CITY, NY 11106-2329
- **Mailing address phone:** (718) 433-0044
- **Mailing address fax:** (718) 433-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 177953 | NY | Yes |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 12/29/2015
