Organization
EASTERN SUFFOLK TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY VESCOVI (PRINCIPAL)
(631) 477-5912
Entity
Organization
Contact information
Practice address
370 ROCKY POINT RD, EAST MARION, NY 11939-1123
(631) 477-5912
Mailing address
370 ROCKY POINT RD, EAST MARION, NY 11939-1123
(631) 477-5912
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
38629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03719711
—
NY
Enumeration date
06/01/2016
Last updated
06/01/2016
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