Healthcare Provider Details

I. General information

NPI: 1912724915
Provider Name (Legal Business Name): HEALTH INFUSION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 SUNNYSIDE BLVD STE 100C
PLAINVIEW NY
11803-1539
US

IV. Provider business mailing address

131 SUNNYSIDE BLVD STE 100C
PLAINVIEW NY
11803-1539
US

V. Phone/Fax

Practice location:
  • Phone: 516-340-4001
  • Fax:
Mailing address:
  • Phone: 516-340-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NICOLE MOAWAD
Title or Position: PRESIDENT
Credential: RN
Phone: 516-340-4001