Organization
NORTHERN NY INFUSION
Active
Other names
OPTIONCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SUE STEVENS (OFFICE/BILLING MANAGER)
(315) 785-5436
Entity
Organization
Contact information
Practice address
18564 US ROUTE 11, WATERTOWN, NY 13601-5900
(315) 785-5436
(315) 786-3497
Mailing address
18564 US ROUTE 11, WATERTOWN, NY 13601-5900
(315) 785-5436
(315) 786-3497
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9957L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01776109
—
NY
Enumeration date
08/09/2005
Last updated
08/22/2020
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