Organization
DESTINEE RIDES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCHELLE A IRVING LPN (CEO)
(845) 453-5113
Entity
Organization
Contact information
Practice address
11 COMMONS LN, UNIT 12, POUGHKEEPSIE, NY 12601-7615
(845) 464-4477
(845) 454-0736
Mailing address
PO BOX 4995, POUGHKEEPSIE, NY 12602-4995
(845) 464-4477
(845) 454-0736
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
38934
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03765079
—
NY
Enumeration date
03/24/2017
Last updated
03/24/2017
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