| NPI | 1699582791 |
|---|---|
| Former Legal Business Name | 5TH AVENUE MEDICAL TRANSPORT |
| Entity Type | Organization |
| Authorized Contact | MARIA CORTEZ Owner 347-313-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-17 |