Organization
BARUKH MEDICAL TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMANUIL AYLYAROV (PRESIDENT)
(917) 337-2144
Entity
Organization
Contact information
Practice address
6269 99TH ST STE 1A, REGO PARK, NY 11374-1841
(718) 699-3333
(347) 730-5656
Mailing address
62-69 99TH ST STE 1A, REGO PARK, NY 11374-1841
(718) 699-3333
(347) 730-5656
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02653758
—
NY
Enumeration date
08/17/2011
Last updated
08/17/2011
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