CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK NPI 1063424216

NPI Information

  • NPI: 1063424216
  • Provider Name: CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK
  • Classification: Home Infusion - 251F00000X
  • Entity Type: Organization
  • Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES
  • Address: 28-07 JACKSON AVENUE
    LONG ISLAND, NY
    ZIP 11101
  • Phone: (516) 491-7930

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NPI Details

CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK is a home infusion in Long Island, NY. CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK NPI is 1063424216. The provider is registered as an organization entity type.
The provider Is Doing Business As Coram Cvs/specialty Infusion Services.

The provider's business location address is:

28-07 JACKSON AVENUE
LONG ISLAND, NY
ZIP 11101-110
Phone: (516) 491-7930
Fax: (718) 730-9398

The provider's authorized official is Tricia Lacavich .
The authorized official title is President and has the following contact phone number (314) 306-3255.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health9073L002NEW YORKNo
2251F00000XHome Infusion9073L002NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19073L002OTHERNEW YORKHOME HEALTH AGENCY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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