# NORTHERN NY INFUSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OPTIONCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265433593
- **Authorized official:** MRS. LINDA SUE STEVENS (OFFICE/BILLING MANAGER)
- **Authorized official phone:** (315) 785-5436

## Contact information

- **Practice address:** 18564 US ROUTE 11, WATERTOWN, NY 13601-5900
- **Practice address phone:** (315) 785-5436
- **Practice address fax:** (315) 786-3497
- **Mailing address:** 18564 US ROUTE 11, WATERTOWN, NY 13601-5900
- **Mailing address phone:** (315) 785-5436
- **Mailing address fax:** (315) 786-3497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 9957L001 | NY | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01776109 | — | NY |