Organization
CNY QUALITY TRANSPORT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL THOMAS MOORE (OWNER)
(315) 928-6856
Entity
Organization
Contact information
Practice address
124 NORTHERN LIGHTS DR, NORTH SYRACUSE, NY 13212-4113
(315) 928-6856
Mailing address
124 NORTHERN LIGHTS DR, NORTH SYRACUSE, NY 13212-4113
(315) 928-6856
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04949684
—
NY
Enumeration date
03/31/2019
Last updated
03/31/2019
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