Cny Home Draws LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

CNY HOME DRAWS LLC

Practice address

4998 Sandalwood LN
Liverpool, NY 13088-5910

Phone

(315) 664-4050

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy ClarkNPI 1376260208

Title

Co-Owner

Phone

(315) 664-4050

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Clark

  • Phlebotomy Technician
  • Liverpool, NY
  • NPI 1376260208
  NPD Authorized official
• Sara May Thompson, RN

  • Registered Nurse
  • Liverpool, NY
  • NPI 1669161824
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1548945215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 SANDALWOOD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 SANDALWOOD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885910",
            "telephone_number": "315-664-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY HOME DRAWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "315-664-4050"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Phlebotomy Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.