Organization
OMNICARE MULTI SPECIALTY,PC
Active
Parent organization
OMNICARE ANESTHESIA, PC
Other names
OMNICARE MULTI SPECIALTY,PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNICARE ANESTHESIA, PC
Authorized official
MRS. EVANS CREVECOEUR CEO/ M.D (PHYSICIANS)
(718) 433-0044
Entity
Organization
Contact information
Practice address
765 NOSTRAND AVE, BROOKLYN, NY 11216-4203
(718) 433-0044
(718) 433-4644
Mailing address
3636 33RD ST, 211, LONG ISLAND CITY, NY 11106-2329
(718) 433-0044
(718) 433-0044
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
177953
NY
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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