| NPI | 1669098752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIMADIPATI SUSIL THALGAHAGODA Owner 845-248-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |