Organization
AVERY'S TAXI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER B AVERY (OWNER)
(518) 860-2151
Entity
Organization
Contact information
Practice address
85 WINEBERRY LN, MALTA, NY 12020-4719
(518) 321-6195
Mailing address
85 WINEBERRY LN, MALTA, NY 12020-4719
(518) 321-6195
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03316947
—
NY
Enumeration date
01/17/2017
Last updated
01/17/2017
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