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Contact Information

LIFELINE INFUSION SERVICES, INC.
559 MIDDLE RD
BAYPORT, NY11705-1931
 Phone: 631-472-2929
 Fax: 631-472-6882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LIFELINE INFUSION SERVICES, INC.

NPI Number 1982639530
LBN Legal business name LIFELINE INFUSION SERVICES, INC.
Authorized official RUSSELL MARTIN - (SECRETARY/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2006
Last updated 08/15/2016 - About 10 years ago
Identifiers
NY License # 021626
NY Medicaid 01420626
Other 2063801 PK
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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