Provider Demographics
NPI:1760919427
Name:NYC INFUSION
Entity Type:Organization
Organization Name:NYC INFUSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTING CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BREIDBART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-602-6481
Mailing Address - Street 1:256 SUNRISE HIGHWAY
Mailing Address - Street 2:SUITE 1-383
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4901
Mailing Address - Country:US
Mailing Address - Phone:844-644-5687
Mailing Address - Fax:888-522-5952
Practice Address - Street 1:241 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2917
Practice Address - Country:US
Practice Address - Phone:844-644-5687
Practice Address - Fax:888-522-5952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy