Organization
PRIME CARE TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVERIEN MFIZI (COO)
(716) 445-5395
Entity
Organization
Contact information
Practice address
3385 BAILEY AVE STE 201, BUFFALO, NY 14215-1138
(716) 986-2539
(716) 249-3811
Mailing address
130 HASTINGS AVE, BUFFALO, NY 14215-2846
(716) 986-2539
(716) 249-3811
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04953691
—
NY
Enumeration date
08/28/2019
Last updated
08/28/2019
Update your record
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