Organization
EXPRESS TAXI & MEDICAL TRANSPORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI JEILANI (OWNER)
(315) 395-2864
Entity
Organization
Contact information
Practice address
734 N SALINA ST, SYRACUSE, NY 13208-2511
(315) 395-2864
(315) 802-7549
Mailing address
734 N SALINA ST, SYRACUSE, NY 13208-2511
(315) 395-2864
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03119477
—
NY
Enumeration date
01/16/2019
Last updated
01/16/2019
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