Provider Demographics
NPI:1649163544
Name:INFUSE ONE NY LLC
Entity type:Organization
Organization Name:INFUSE ONE NY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-337-4055
Mailing Address - Street 1:11641 KEW GARDENS AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2846
Mailing Address - Country:US
Mailing Address - Phone:561-337-4055
Mailing Address - Fax:
Practice Address - Street 1:228 PARK AVE S #564083 NEW YORK NY 10003
Practice Address - Street 2:#564083
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:646-701-5985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty