Organization
LARSON MEDICAK TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R LARSON (PRESIDENT)
(315) 282-2300
Entity
Organization
Contact information
Practice address
1465 GRAVEL RD, SENECA FALLS, NY 13148-9773
(315) 282-2300
Mailing address
1465 GRAVEL RD, SENECA FALLS, NY 13148-9773
(315) 282-2300
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04422524
—
NY
Enumeration date
04/10/2017
Last updated
04/10/2017
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