Organization
NOVA INFUSION SERVICES INC
Active
Other names
Nova-Infusion Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BRONCHETTI (OWNER)
(315) 299-8979
Entity
Organization
Contact information
Practice address
913 OLD LIVERPOOL RD, SUITE 1H, LIVERPOOL, NY 13088-5571
(315) 299-8979
(315) 214-8377
Mailing address
913 OLD LIVERPOOL RD, SUITE 1H, LIVERPOOL, NY 13088-5571
(315) 299-8979
(315) 214-8377
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
032350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143006
PK
—
Enumeration date
03/04/2013
Last updated
11/19/2013
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