Individual
AWOSELY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 ELK DR, FAR ROCKAWAY, NY 11691-3613
(929) 338-2412
Mailing address
2041 ELK DR, FAR ROCKAWAY, NY 11691-3613
(929) 338-2412
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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