Provider Demographics
NPI:1891979498
Name:EAZYLIFT ALBANY, LLC
Entity Type:Organization
Organization Name:EAZYLIFT ALBANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-393-2274
Mailing Address - Street 1:836 TROY SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2424
Mailing Address - Country:US
Mailing Address - Phone:518-393-2274
Mailing Address - Fax:888-841-5368
Practice Address - Street 1:836 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2424
Practice Address - Country:US
Practice Address - Phone:518-393-2274
Practice Address - Fax:888-841-5368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48-34960 0332B00000X
332BC3200X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies