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Organization
HOME AIDE SERVICE OF EASTERN NEW YORK, INC.
Active
Organization
HOME AIDE SERVICE OF EASTERN NEW YORK, INC.
Active
Other names
Eddy Visiting Nurse Association
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE T MAZZACCO (VP/DIRECTOR)
(518) 270-1310
Entity
Organization
Contact information
Practice address
433 RIVER ST, SUITE 3000, TROY, NY 12180-2238
(518) 274-6200
(518) 274-1829
Mailing address
433 RIVER ST, SUITE 3000, TROY, NY 12180-2238
(518) 274-6200
(518) 274-1829
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1921601
NY
251E00000X
Home Health Agency
1921901L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400078000
BSNENY, SR BLUE
NY
01
—
004116
EMPIRE BC
NY
05
—
00872739
—
NY
05
—
00896511
—
NY
01
—
040401000507
FIDELIS
NY
01
—
10002765
CDPHP
NY
01
—
3503
GHI
NY
01
—
702486
HARVARD PILGRIM
NY
01
—
7408289
AETNA
NY
01
—
990069
MVP
NY
Enumeration date
06/08/2006
Last updated
03/26/2009
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