Healthcare Provider Details

I. General information

NPI: 1790648657
Provider Name (Legal Business Name): INFUSE IQ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619B OCEANFRONT
LONG BEACH NY
11561-3049
US

IV. Provider business mailing address

619B OCEANFRONT
LONG BEACH NY
11561-3049
US

V. Phone/Fax

Practice location:
  • Phone: 631-790-9436
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN SCHNEPF
Title or Position: DIRECTOR
Credential:
Phone: 631-790-9436