Organization
CANNON MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ROAUL CANNON (PRESIDENT)
(585) 465-3969
Entity
Organization
Contact information
Practice address
65 LILAC DR, ROCHESTER, NY 14620-3207
(585) 465-3969
(585) 328-6226
Mailing address
65 LILAC DR, ROCHESTER, NY 14620-3207
(585) 465-3969
(585) 328-6226
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04284520
—
NY
Enumeration date
09/07/2016
Last updated
09/07/2016
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