Individual
FREDERICK BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 VINCENT AVE, LIVERPOOL, NY 13088-6315
(315) 572-5143
Mailing address
109 VINCENT AVE, LIVERPOOL, NY 13088-6315
(315) 572-5143
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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