Organization
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Active
Parent organization
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Other names
Coram CVS/specialty Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
Authorized official
TRICIA LACAVICH (PRESADENT)
(314) 306-3255
Entity
Organization
Contact information
Practice address
55 MOHAWK ST, COHOES, NY 12047-2629
(518) 689-2900
(518) 689-2901
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(303) 672-8631
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031091
PHARMACY PERMIT
NY
01
—
5804554
NCPDP
—
Enumeration date
11/01/2011
Last updated
03/07/2023
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