Provider Demographics
NPI:1043225584
Name:APRIA HEALTHCARE OF NEW YORK STATE, INC.
Entity Type:Organization
Organization Name:APRIA HEALTHCARE OF NEW YORK STATE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STARCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-639-2000
Mailing Address - Street 1:701 TECHNOLOGY DR
Mailing Address - Street 2:STE 250
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:744 ULSTER AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1710
Practice Address - Country:US
Practice Address - Phone:845-336-3333
Practice Address - Fax:845-336-3346
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APRIA HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-31
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1042830008Medicare NSC