Individual
ROYDELL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 MORNINGSIDE DR, PATTERSON, NY 12563-2308
(914) 837-5690
Mailing address
46 MORNINGSIDE DR, PATTERSON, NY 12563-2308
(914) 837-5690
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
46-1331619
NY
344600000X
Taxi
46-1331619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03531495
—
NY
Enumeration date
09/21/2015
Last updated
09/21/2015
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