MEDICARE: APRIA HEALTHCARE OF NEW YORK STATE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1679599179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APRIA HEALTHCARE OF NEW YORK STATE INC

Provider Business Mailing Address
First Line	:	701 TECHNOLOGY DR
Second Line	:	STE 250
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 JEWEL ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-2408
Country	:	US
Telephone Number	:	718-361-2224
Fax Number	:	718-383-2891

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL STARCK
Credential	:
Telephone Number	:	949-639-2810

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	01/22/2013

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