Rosehouse Surgicare

NPI #1306155874 in Elmont, New York

Provider Information

NPI Number: 1306155874
Entity Type: Organization
Organization Name: Rosehouse Surgicare
Subpart: Yes (part of a larger organization)
Parent Organization: OMNICARE PLUS
Primary Specialty: Specialist
Enumeration Date: Oct 1, 2010
Last Updated: Jun 18, 2015

Practice Location

Address: 1975 LINDEN BLVD STE 107
City: Elmont
State: New York
ZIP Code: 11003-4004
Phone: (718) 433-4644

Authorized Official

Name: DR. EVANS CREVECOEUR
Title: PHYSICIAN/CEO
Phone: (718) 433-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Clinic/Center - Health Service — Health Service	261QH0100X

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