Organization
INNOVAFUSE INFUSION SERVICES, LLC
Active
Other names
Vital Care of Syosset
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT KAJLA (OWNER)
(516) 636-5775
Entity
Organization
Contact information
Practice address
6900 JERICHO TPKE STE 100W, SYOSSET, NY 11791-4457
(516) 636-5775
(516) 636-5785
Mailing address
6900 JERICHO TPKE STE 100W, SYOSSET, NY 11791-4457
(516) 636-5775
(516) 636-5785
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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