Organization
HOME HEALTH PAVILION INC
Active
Organization
HOME HEALTH PAVILION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASRAR AHMED (PRESIDENT)
(845) 569-1250
Entity
Organization
Contact information
Practice address
5027 ROUTE 9W, NEWBURGH, NY 12550-1946
(845) 569-1250
Mailing address
5027 ROUTE 9W, NEWBURGH, NY 12550-1946
(845) 569-1250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252060
—
NY
Enumeration date
07/28/2005
Last updated
08/22/2020
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