MEDICARE: CENTRAL NEW YORK INFUSION SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336S0011X	Specialty Pharmacy
2	251F00000X	Home Infusion Agency
3	3336H0001X	Home Infusion Therapy Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3347576	OTHER	NY	NABP

General Provider Information

NPI Number	:	1316935851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL NEW YORK INFUSION SERVICES, LLC

Provider Business Mailing Address
First Line	:	855 SW 78TH AVE # C200
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3223
Country	:	US
Telephone Number	:	877-337-3002
Fax Number	:	888-385-2805

Provider Business Practice Location Address
First Line	:	333 BUTTERNUT DR
Second Line	:	SUITE 102
City	:	DEWITT
State	:	NY
Zip	:	13214-1803
Country	:	US
Telephone Number	:	315-424-7027
Fax Number	:	315-424-7638

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. EDWARD P KRAMM
Credential	:
Telephone Number	:	913-515-6719

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	05/13/2026

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