| NPI | 1760040596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERYK L SIMMONS Member Operations Manager 914-760-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |