Healthcare Provider Details

I. General information

NPI: 1811668700
Provider Name (Legal Business Name): LINCARE OF NEW YORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 JUPITER LANE SUITE 6
ALBANY NY
12205-6918
US

IV. Provider business mailing address

17777 CENTER COURT DR N STE 550
CERRITOS CA
90703-9337
US

V. Phone/Fax

Practice location:
  • Phone: 800-238-2247
  • Fax:
Mailing address:
  • Phone: 800-435-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KAREN KACZMAREK
Title or Position: PRESIDENT
Credential: RN
Phone: 800-435-3020