Omnicare Plus, PC

NPI #1205067436 in Rosedale, New York

Provider Information

NPI Number: 1205067436
Entity Type: Organization
Organization Name: Omnicare Plus, PC
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2009
Last Updated: Aug 5, 2009

Practice Location

Address: 23428 MERRICK BLVD
Address 2: 2ND FL
City: Rosedale
State: New York
ZIP Code: 11422-1320
Phone: (718) 636-3990

Authorized Official

Name: EVANS CREVECOEUR, M.D.
Title: ANESTHESIOLOGIST
Phone: (718) 622-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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