Individual
ROBERTO LIRANZO BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5030 BROADWAY, SUITE 609, NEW YORK, NY 10034-1609
(212) 567-3879
(212) 304-0102
Mailing address
5030 BROADWAY, SUITE 609, NEW YORK, NY 10034-1609
(212) 567-3879
(212) 304-0102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B02965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B02965
—
NY
Enumeration date
08/03/2016
Last updated
08/03/2016
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