| NPI | 1275042897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADIJO I ABDULKADIR Executive Advisor 315-664-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |