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Contact Information

OMNICARE MULTI SPECIALTY CENTER, LLC
763-765 NOSTRAND AVENUE
BROOKLYN, NY11216
 Phone: 718-774-0171
 Fax: 718-773-7470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for OMNICARE MULTI SPECIALTY CENTER, LLC

NPI Number 1821376005
LBN Legal business name OMNICARE MULTI SPECIALTY CENTER, LLC
Authorized official REGINE SERRANO - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2011
Last updated 05/02/2014 - About 12 years ago
Identifiers
NY License # 177953
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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