Organization
COLLEGE POINT MOBILITY SHUTTLE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDIE L CRUTCHFIELD (OWNER)
(718) 699-7701
Entity
Organization
Contact information
Practice address
9906 58TH AVE, SUITE 2G, CORONA, NY 11368-3714
(516) 859-1587
(718) 699-7701
Mailing address
9906 58TH AVE, SUITE 2G, CORONA, NY 11368-3714
(516) 859-1587
(718) 699-7701
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LIC2-15-128629
SC
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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