Organization
BRASSAI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL YUZBASHEV (PRESIDENT)
(716) 545-3780
Entity
Organization
Contact information
Practice address
10060 COUNTY RD STE C, CLARENCE CENTER, NY 14032-9178
(716) 545-3780
(716) 406-9303
Mailing address
10060 COUNTY RD STE C, CLARENCE CENTER, NY 14032-9178
(716) 545-3780
(716) 406-9303
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05160467
—
NY
Enumeration date
10/29/2018
Last updated
02/20/2020
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