Organization
MEDWIZ SPECIALTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC E. NEWHOUSE (CEO)
(845) 624-5200
Entity
Organization
Contact information
Practice address
167 ROUTE 304, SUITE 201, BARDONIA, NY 10954-2050
(845) 624-5200
(845) 624-5300
Mailing address
167 ROUTE 304, SUITE 201, BARDONIA, NY 10954-2050
(845) 624-5200
(845) 624-5300
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
02/16/2009
Last updated
03/19/2010
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