MEDICARE: AHG OF NEW YORK INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	022968	NY
2	3336H0001X	Home Infusion Therapy Pharmacy	022968	NY
3	3336S0011X	Specialty Pharmacy	022968	NY
4	3336C0003X	Community/Retail Pharmacy	022968	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700834587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHG OF NEW YORK INC

Provider Business Mailing Address
First Line	:	PO BOX 954041
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-0001
Country	:	US
Telephone Number	:	901-381-7141
Fax Number	:	901-261-6924

Provider Business Practice Location Address
First Line	:	125 CLEARBROOK RD STE 122
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523-1119
Country	:	US
Telephone Number	:	914-592-0333
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	VICTOR PERINI
Credential	:
Telephone Number	:	314-684-6750

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	02/12/2025

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Directions to “AHG OF NEW YORK INC ” Practice Location

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