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General NPI Number Information
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NPI Number | 1336206002
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Entity Type | Organization
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Legal Business Name | OPTUM OF NEW YORK, INC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 70 E SUNRISE HWY STE 522&540
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1240
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Country | US
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Telephone | 800-950-3963
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Fax | 678-260-2793
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Provider Business Mailing Address
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Address Line | 2100 RIVEREDGE PKWY SUITE 500
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City | ATLANTA
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State | GA
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Zip | 30328-4693
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Country | US
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Telephone | 770-767-4500
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Fax | 678-355-4092
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MRS. DARLENE RIGGINS-JONES
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Credential |
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Telephone | 763-797-2315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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