Organization
EMPIRE TRANSPORTATION PROVIDER INC
Active
Other names
Empire Transportation provider inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABIYU KEBEDE AYNALEM MBA (CEO)
(716) 533-0824
Entity
Organization
Contact information
Practice address
1330 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8900
(716) 400-6900
Mailing address
441 SHETLAND DR, BUFFALO, NY 14221-3919
(716) 400-6900
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04317837
NON EMERGENCY MEDICAL TRANSPORTATION
NY
05
—
04317837
—
NY
Enumeration date
01/10/2020
Last updated
01/21/2020
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