Organization
EMPIRE HOME INFUSION SERVICE INC
Active
Other names
Northeast Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE T MAZZACCO (VP/DIRECTOR)
(518) 270-1310
Entity
Organization
Contact information
Practice address
60 COHOES AVE, GREEN ISLAND, NY 12183-1587
(518) 271-9600
(518) 271-3816
Mailing address
60 COHOES AVE, GREEN ISLAND, NY 12183-1587
(518) 271-9600
(518) 271-3816
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000478012002
BLUE SHIELD NENY
NY
05
—
02164510
—
NY
01
—
10029567
CDPHP
NY
01
—
44125
MVP
NY
Enumeration date
03/10/2006
Last updated
03/07/2011
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