Organization
SUBURBAN TAXI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J ILACQUA (PRESIDENT)
(315) 431-8020
Entity
Organization
Contact information
Practice address
6327 E MOLLOY RD, EAST SYRACUSE, NY 13057-1023
(315) 431-8020
(315) 431-8021
Mailing address
6327 E MOLLOY RD, EAST SYRACUSE, NY 13057-1023
(315) 431-8020
(315) 431-8021
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03561066
—
NY
Enumeration date
08/30/2016
Last updated
08/30/2016
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