Organization
BLOOM TRANS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHA MICHELLE WILLIAMS (TRANSPORTATION PROVIDER)
(646) 247-4839
Entity
Organization
Contact information
Practice address
1565 ODELL STREET # 9G, BRONX, NY 10462-7036
(646) 247-4839
Mailing address
1565 ODELL ST APT 9G, BRONX, NY 10462-7036
(646) 247-4839
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NY
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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