Organization
FANCEE WHEELS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVERSA (PRESIDENT)
(716) 665-7075
Entity
Organization
Contact information
Practice address
1 E MAIN ST, FALCONER, NY 14733-1347
(716) 665-7075
(716) 665-2893
Mailing address
1 E MAIN ST, FALCONER, NY 14733-1347
(716) 665-7075
(716) 665-2893
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04806575
—
NY
Enumeration date
03/01/2018
Last updated
08/22/2019
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