Omnicare Plus, PC

Specialist · Rosedale, NY

Organization Active NPI

NPI number 1205067436

Practice location

23428 Merrick Blvd
2ND Fl
Rosedale, NY 11422-1320
Phone
(718) 636-3990
Fax
(718) 636-5140

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NPI record

NPI
1205067436
Entity type
Organization (Type 2)
Enumeration date
August 5, 2009
Last updated
August 5, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 177953 NY

Mailing address

55 Greene Ave
Suite Lla
Brooklyn, NY 11238-1026
Phone
(718) 622-0111
Fax
(718) 636-5140

Authorized official

Name
Evans Crevecoeur, M.D.
Title
Anesthesiologist
Phone
(718) 622-0111

About Omnicare Plus, PC

Omnicare Plus, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 23428 Merrick Blvd, 2ND Fl, Rosedale, NY 11422-1320. The NPI number 1205067436 was assigned on August 5, 2009 and the record was last updated on August 5, 2009.

Omnicare Plus, PC lists a license in the registry: #177953 (NY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Evans Crevecoeur, M.D., Anesthesiologist.

Frequently asked questions

What is the NPI number of Omnicare Plus, PC?

The NPI number is 1205067436.

What is the phone number of Omnicare Plus, PC?

The phone number listed for the practice location is (718) 636-3990.

Where is Omnicare Plus, PC located?

23428 Merrick Blvd, 2ND Fl, Rosedale, NY 11422-1320.

What is the taxonomy code for Omnicare Plus, PC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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