| NPI | 1821376005 |
|---|---|
| Doing Business As | OMNICARE ANESTHESIA, P.C. |
| Entity Type | Organization |
| Authorized Contact | REGINE SERRANO Credentialing Manager 718-774-0171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 177953) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 177953) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2014-05-02 |