Organization
TLCM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER M. SMEDING JR. (CEO)
(631) 467-7755
Entity
Organization
Contact information
Practice address
500 CHURCH ST, BAYPORT, NY 11705-1116
(631) 467-7755
(631) 467-1110
Mailing address
500 CHURCH ST, BAYPORT, NY 11705-1116
(631) 467-7755
(631) 467-1110
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
36823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02832093
—
NY
Enumeration date
04/06/2016
Last updated
04/06/2016
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