Organization
MO NY LOGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FULLER (MEDICAL TRANSPORT PROVIDER/MANAGER)
(585) 635-6167
Entity
Organization
Contact information
Practice address
884 BAY ST APT 3, ROCHESTER, NY 14609-4729
(585) 635-6167
Mailing address
884 BAY ST APT 3, ROCHESTER, NY 14609-4729
(585) 635-6167
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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