Provider Demographics
NPI:1053929943
Name:RXIV INFUSIONS LLC
Entity type:Organization
Organization Name:RXIV INFUSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-902-0213
Mailing Address - Street 1:3236 JUDITH LN
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4211
Mailing Address - Country:US
Mailing Address - Phone:516-545-0809
Mailing Address - Fax:
Practice Address - Street 1:3236 JUDITH LN
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4211
Practice Address - Country:US
Practice Address - Phone:516-322-3921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00000000OtherN/A