institution
Optum Infusion Services 100, Inc.
Parenteral & Enteral Nutrition Supplies (DME) in Farmingdale, New York
NPI 1043275969

Optum Infusion Services 100, Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in Farmingdale, NY and is specialized in Parenteral & Enteral Nutrition. Optum Infusion Services 100, Inc. practices in Farmingdale, NY. The NPI Number for Optum Infusion Services 100, Inc. is 1043275969 and holds a License No. 9296L0001 (New York).

The current practice location address for Optum Infusion Services 100, Inc. is 931 D Conklin Street, Farmingdale, NY and can be reached out via phone at 800-346-6348 and via fax at 866-689-3569.

Location: 931 D Conklin Street, Farmingdale, NY, 11735
institution
Provider Profile Details
NPI Number
1043275969
Provider Name
Optum Infusion Services 100, Inc.
Credential
Provider Entity Type
Organization
Address
931 D Conklin Street, Farmingdale, NY, 11735
Phone Number
800-346-6348
Fax Number
866-689-3569
Provider Enumeration Date
04/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85329 01 NY MVP
ANC1772 01 NY OXFORD
9296L001 01 NY HOME CARE SERVICE AGENCY LICENSE
58658 01 NY VYTRA
B6A532 01 NY EMPIRE BC/BS
114382 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
931 D Conklin Street
City
State
Zip
11735
Phone Number
800-346-6348
Fax Number
866-689-3569
person
Provider Business Mailing Address Details
Address
931 D Conklin Street
City
State
Zip
11735
Phone Number
800-346-6348
Fax Number
866-689-3569
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
License No.
020477 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
9296L0001 (New York)
Definition
Definition to come...
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