| NPI | 1487201612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOPEZ Administrative Assistant 518-337-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |