Organization Name: | CORAM HEALTHCARE |
NPI Number: | 1073592051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARIAN JOHN APOLLO (TEAM LEADER) |
Mailing Address: | 1 Charles Blvd Guilderland |
State: | NY US |
Postal Code: | 120849568 |
Phone Number: | 5188696613 |
Fax Number: | 5188693760 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | 317103-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |