Organization
NORTHERN NY INFUS
Active
Other names
OPTIONCARE
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA STEVENS (OFFICE BILLING MANAGER)
(315) 785-5436
Entity
Organization
Contact information
Practice address
21093 NYS RTE 12F, WATERTOWN, NY 13601-1078
(315) 788-3527
(315) 788-3527
Mailing address
PO BOX 6369, WATERTOWN, NY 13601-6369
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
023382
NY
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01776109
—
NY
01
—
3336446
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/14/2006
Last updated
09/11/2025
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