| Garden State Infusions Llc | |
|
6040 Kennedy Blvd E Apt 3f West New York NJ 07093-3805 | |
| (551) 697-3297 | |
| Not Available |
| Full Name | Garden State Infusions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6040 Kennedy Blvd E Apt 3f, West New York, New Jersey |
| Authorized Official Name and Position | Lautaro Sanfilippo (DIRECTOR) |
| Authorized Official Contact | 5516973297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Infusions Llc 6040 Kennedy Blvd E Apt 3f West New York NJ 07093-3805 Ph: (551) 697-3297 | Garden State Infusions Llc 6040 Kennedy Blvd E Apt 3f West New York NJ 07093-3805 Ph: (551) 697-3297 |
| NPI Number | 1689264145 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 8628455854 |
|---|---|
| Medicare Enrollment ID | O20220510000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689264145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sowdhamani Bellapu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780944272 PECOS PAC ID: 5890080089 Enrollment ID: I20220510000444 |
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