| Organization Name: | CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK |
| NPI Number: | 1427394915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JODY L KEPLER (PRESIDENT) |
| Mailing Address: | 510 Clinton Sq Rochester |
| State: | NY US |
| Postal Code: | 146041700 |
| Phone Number: | 7166913000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2013 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |