Organization
ONE SOURCE INFUSION CENTER LLC
Active
Other names
Serene Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJASEKHAR BUDDHAVARAPU MD (CHIEF MEDICAL OFFICER)
(914) 468-6084
Entity
Organization
Contact information
Practice address
44 E POST RD, INFUSION SUITES, WHITE PLAINS, NY 10601-4606
(914) 269-8580
(914) 287-2417
Mailing address
44 E POST RD, INFUSION SUITES, WHITE PLAINS, NY 10601-4606
(914) 269-8580
(914) 287-2417
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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