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Organization

SENIOR RIDE TRANSPORTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL S VATCH MPA,CCEMTP (CEO)
(718) 430-9700
Entity
Organization

Contact information

Practice address
855 BRUSH AVE, BRONX, NY 10465-1808
(718) 430-9700
(718) 430-1528
Mailing address
855 BRUSH AVE, BRONX, NY 10465-1808
(718) 430-9700
(718) 430-1528

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90681
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03176249
NY
Enumeration date
02/11/2010
Last updated
02/11/2010
Update your record

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