Organization
PREMO LIMOUSINE SERVICE OF WNY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOSEPH CARUCCI (MANAGING MEMBER)
(716) 372-4546
Entity
Organization
Contact information
Practice address
301 S UNION ST, OLEAN, NY 14760-3637
(716) 372-4546
(716) 372-4622
Mailing address
301 S UNION ST, OLEAN, NY 14760-3637
(716) 372-4546
(716) 372-4622
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
411337193
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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