Organization
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Active
Parent organization
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Other names
Coram CVS/specialty Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Authorized official
TRICIA LACAVICH (PRESIDENT)
(314) 306-3255
Entity
Organization
Contact information
Practice address
28-07 JACKSON AVENUE, LONG ISLAND, NY 11101-1110
(516) 491-7930
(718) 730-9398
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(303) 672-8631
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
9073L002
NY
251F00000X
Home Infusion Agency
Primary
9073L002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9073L002
HOME HEALTH AGENCY
NY
Enumeration date
08/13/2006
Last updated
01/30/2023
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