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Organization

GREENEHOUSE SURGICARE. PC

Active
Parent organization
OMNICARE ANESTHESIA,PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OMNICARE ANESTHESIA,PC
Authorized official
DR. EVANS CREVECOEUR (CEO/PHYSICIANS)
(718) 433-0044
Entity
Organization

Contact information

Practice address
55 GREENE AVE STE LLA, BROOKLYN, NY 11238-6432
(718) 433-0044
(178) 433-4644
Mailing address
P.O.BOX 30037, ELMONT, NY 11003-0037
(718) 433-0044
(718) 433-4644

Taxonomy

Speciality
Code
Description
License number
State
1744G0900X
Graphics Designer
Primary
177953
NY

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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