NPI 1063424216

Coram Healthcare Corporation of Greater New York

Organisation Home Infusion Agency Long Island, NY

Practice location

Address: 28-07 Jackson Avenue, Long Island, NY 11101-1110
Phone: (516) 491-7930
Fax: (718) 730-9398
Mailing address: PO Box 809160, Chicago, IL 60680-9160

Authorised official

Name: Tricia Lacavich
Title: President
Phone: (314) 306-3255

Registered specialties (2)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X Licence 9073L002 (NY)

Other Home Infusion providers in New York →

Home Health Agency

Agencies Taxonomy 251E00000X Licence 9073L002 (NY)

Other Home Health providers in New York →

Registry record

NPI: 1063424216
Entity type: Organization
NPI issued: 13 Aug 2006
Record last updated: 30 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.