Omnicare Plus, Pc

NPI 1205067436 - Specialist - 174400000X

NPI Details
NPI 1205067436
Enumeration Date 08/05/2009
Last Updated 08/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EVANS EVANS
Position ANESTHESIOLOGIST
Phone (718) 636-3990
Fax (718) 636-5140
Practice Location
23428 MERRICK BLVD
2ND FL
ROSEDALE NY, 11422-1320, US
Phone (718) 636-3990
Fax (718) 636-5140
Business Location
55 GREENE AVE
SUITE LLA
BROOKLYN NY, 11238-1026, US
Phone (718) 622-0111
Fax (718) 636-5140
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 177953
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According to our database, Omnicare Plus, Pc NPI is 1205067436, taxonomy code is 174400000X and license number is 177953, license state is located at New York. Omnicare Plus, Pc physically located at 23428 Merrick Blvd, Rosedale NY, 11422-1320. NPI Number 1033115704 has the healthcare provider type.

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1205067436 NPI number is provided on an as is basis without warranty of any kind. 1205067436 is maintained by the National Plan & Provider Enumeration System. The contents of Omnicare Plus, Pc are for informational purposes only.