| NPI | 1629602255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATH ELRAHMAN MOHAMED MATAR Owner 718-971-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |