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General NPI Number Information
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NPI Number | 1932455730
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Entity Type | Organization
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Legal Business Name | LIFE INFUSIONS CORP
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1500 ASTOR AVE FL 2B
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City | BRONX
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State | NY
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Zip | 10469-5900
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Country | US
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Telephone | 347-533-6000
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Fax | 347-533-7000
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Provider Business Mailing Address
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Address Line | 1500 ASTOR AVE FL 2B
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City | BRONX
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State | NY
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Zip | 10469-5900
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Country | US
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Telephone | 347-533-6000
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Fax | 347-533-7000
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELAN GUTTMAN
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Credential |
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Telephone | 917-575-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 031379
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License Number State | NY
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