Organization
HAYLEY'S COMET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN GOMEZ GOLDBERG (MEMBER)
(914) 225-4004
Entity
Organization
Contact information
Practice address
1369 BLONDELL AVE, BRONX, NY 10461-2616
(347) 810-1700
(347) 810-1698
Mailing address
1369 BLONDELL AVE, BRONX, NY 10461-2616
(347) 810-1700
(347) 810-1698
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01527471
NY
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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