Coram Healthcare Corporation of Greater New York
Coram Healthcare Corporation of Greater New York is a Home Health Agency in Long Island, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
28-07 Jackson AveLong Island, NY 11101-1110
Phone: (516) 491-7930
Fax: (718) 730-9398
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Infusion Agency (primary) | Taxonomy 251F00000X · Licence 9073L002 (NY) |
|---|---|
| Home Health Agency | Taxonomy 251E00000X · Licence 9073L002 (NY) |
Record details
| NPI number | 1063424216 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Coram Healthcare Corporation of Greater New York |
| Authorized official | Tricia Lacavich — President · (314) 306-3255 |
| Other names | Coram Cvs/Specialty Infusion Services; Coram Cvs/Specialty Infusion Services |
| NPI enumerated | August 13, 2006 |
| Last updated in NPPES | January 30, 2023 |
| Certification date | January 30, 2023 |
| Mailing address | Po Box 809160, Chicago, IL 60680-9160 |