Provider Demographics
NPI:1497066252
Name:NEUROINFUSION REGISTERED PROFESSIONAL NURSING, PLLC
Entity Type:Organization
Organization Name:NEUROINFUSION REGISTERED PROFESSIONAL NURSING, PLLC
Other - Org Name:NEUROINFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SARACELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-866-0252
Mailing Address - Street 1:10 SUTTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:NY
Mailing Address - Zip Code:12775-6046
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 SUTTON RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:NY
Practice Address - Zip Code:12775-6046
Practice Address - Country:US
Practice Address - Phone:845-866-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-27
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY472725251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion