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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