| NPI | 1104343821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE EZZELL Manager 716-228-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NY 161227043856) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |