Civic Infusion Westchester, LLC
Clinic/Center, Infusion Therapy in Valhalla, NY. Organization (NPI-2).
NPI number1629615331
StatusActive
Last updated in NPPESDec 2, 2019
Details
- NPI
- 1629615331
- Entity type
- Organization (NPI-2)
- Legal business name
- Civic Infusion Westchester, LLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2019
- Last updated
- Dec 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | Yes |
Practice location
400 Columbus AveValhalla, NY 10595-1305
Phone 203-883-0038
Mailing address
400 Columbus AveValhalla, NY 10595-1305
Authorized official
Barry D Stein
President
2038830038
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