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Contact Information

EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DR
SUITE 2
MALTA, NY12020-4428
 Phone: 518-899-8103
 Fax: 518-899-2968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EMPIRE HOME INFUSION SERVICE INC

NPI Number 1598705386
LBN Legal business name EMPIRE HOME INFUSION SERVICE INC
Authorized official MICHELLE MAZZACCO - (VP/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2006
Last updated 03/05/2019 - About 7 years ago
Identifiers
NY Medicaid 01697465
NY Other 000478012001 BSNENY, SR BLUE
NY Other 10029567 CDPHP
NY Other Y060817 CHAMPUS
NY Other CWW311 EMPHC-DME
NY Other B1A15 EMPIRE BC
NY Other 000388 EMPIRE BC FACILITY
NY Other 3317028 EPIC
NY Other 040401000497 FIDELIS
NY Other 07794179 GATEWAY
NY Other 38242 GHI
NY Other 991638 MVP
NY Other 00042512001 UNIVERA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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