Organization · Type 2 NPI

Omnicare Multi Specialty Center, LLC

Specialist · Brooklyn, NY

NPI number 1821376005 Active

Practice location

763-765 Nostrand Avenue
Brooklyn, NY 11216

Call (718) 774-0171 Map

Fax (718) 773-7470

Mailing address

763-765 Nostrand Ave
Brooklyn, NY 11216-4203

Specialties and licenses

Taxonomy	Code	License
Community Health Worker	172V00000X	177953 (NY)
Specialist Primary	174400000X	177953 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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NPI record

NPI: 1821376005
Entity type: Organization (Type 2)
Issued: Jul 22, 2011
Last updated: May 2, 2014
Status: Active
Subpart: Yes of Brooklyn Anesthesia Group, P.c.

Other names

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Omnicare Anesthesia, P.c. · doing business as

Authorized official

Mrs. Regine Serrano, PARALEGAL
Credentialing Manager
(718) 774-0171

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821376005

Omnicare Multi Specialty Center, LLC's National Provider Identifier is 1821376005, issued on Jul 22, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on May 2, 2014.