Individual
SHUAB ISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 CHESTNUT ST, ROCHESTER, NY 14604-2318
(952) 652-9766
Mailing address
50 CHESTNUT ST, ROCHESTER, NY 14604-2318
(952) 652-9766
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
165306262
NY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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