Organization
EMPIRE HOME INFUSION SERVICE INC
Active
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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