Organization
LIFE INFUSIONS CORP
Active
Other names
LIFE INFUSIONS CORP
Organization subpart
No
Provider details
NPI number
Authorized official
ELAN GUTTMAN (PRESIDENT)
(917) 575-2231
Entity
Organization
Contact information
Practice address
1500 ASTOR AVE FL 2B, BRONX, NY 10469-5900
(347) 533-6000
(347) 533-7000
Mailing address
1500 ASTOR AVE FL 2B, BRONX, NY 10469-5900
(347) 533-6000
(347) 533-7000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
031379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05123491
—
NY
01
—
5805645
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2012
Last updated
06/05/2025
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