Individual
MR. BRIAN K BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5106 RIDGE ROAD, WILLIAMSON, NY 14589
(315) 589-9391
(315) 589-7418
Mailing address
5106 RIDGE ROAD, WILLIAMSON, NY 14589
(315) 589-9391
(315) 589-7418
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02556018
—
NY
Enumeration date
11/20/2006
Last updated
07/09/2007
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