Organization
GREENLIGHT TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN SHAZAM ALI (OWNER)
(718) 480-6875
Entity
Organization
Contact information
Practice address
10120 LIBERTY AVE, OZONE PARK, NY 11417-1702
(718) 480-6875
(718) 480-1267
Mailing address
10120 LIBERTY AVE, OZONE PARK, NY 11417-1702
(718) 480-6875
(718) 480-1267
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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