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General NPI Number Information
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NPI Number | 1629105846
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HOME CARE INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4401 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-3514
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Country | US
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Telephone | 607-763-5600
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Fax | 607-763-5799
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Provider Business Mailing Address
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Address Line | 4401 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-3514
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Country | US
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Telephone | 607-763-5600
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Fax | 607-763-5799
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH E. CERRA
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Credential |
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Telephone | 607-763-5616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 023309
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 023309
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License Number State | NY
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