Healthcare Provider Details

I. General information

NPI: 1316935851
Provider Name (Legal Business Name): CENTRAL NEW YORK INFUSION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 BUTTERNUT DR SUITE 102
DEWITT NY
13214-1803
US

IV. Provider business mailing address

333 BUTTERNUT DR STE 102
DE WITT NY
13214-2167
US

V. Phone/Fax

Practice location:
  • Phone: 315-424-7027
  • Fax: 315-424-7638
Mailing address:
  • Phone: 315-424-7027
  • Fax: 315-424-7638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD P KRAMM
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 913-515-6719