Organization
LIGHTHOUSE COMMUNITY TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GUNDRUM RN BSN CCM (OWNER)
(631) 599-2022
Entity
Organization
Contact information
Practice address
99 S BICYCLE PATH, SELDEN, NY 11784-3823
(631) 599-6202
(631) 599-6202
Mailing address
99 S BICYCLE PATH, SELDEN, NY 11784-3823
(631) 599-6202
(631) 599-6202
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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