Organization
NEW AGE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HAGERMAN R.N. (PRE/CEO)
(718) 980-3793
Entity
Organization
Contact information
Practice address
4288 ARTHUR KILL RD STE 2, STATEN ISLAND, NY 10309-1331
(718) 980-3793
(718) 980-3799
Mailing address
4288 ARTHUR KILL RD STE 2, STATEN ISLAND, NY 10309-1331
(718) 980-3793
(718) 980-3799
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
9739L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01597277
—
NY
Enumeration date
11/04/2005
Last updated
11/30/2007
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