Organization
A CLASS 1-S TRANSPORTATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND L SMITH JR. (PRESIDENT)
(845) 381-1337
Entity
Organization
Contact information
Practice address
56 MONRO STREET, WALDEN, NY 12586
(845) 381-1337
Mailing address
56 MONRO STREET, WALDEN, NY 12586
(845) 381-1337
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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