Organization
ISLAND HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FECHTMANN (VICE PRESIDENT/ADMINISTRATOR)
(631) 289-6223
Entity
Organization
Contact information
Practice address
175 COMMERCE DRIVE, STE D, HAUPPAUGE, NY 11788-3920
(631) 289-6223
(631) 289-7473
Mailing address
175 COMMERCE DRIVE, STE D, HAUPPAUGE, NY 11788-3920
(631) 289-6223
(631) 289-7473
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
1578L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00884579
—
NY
Enumeration date
10/14/2010
Last updated
10/14/2010
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