Organization
UNITSTATEPVTTRANSPORTATION
Active
Other names
Unitstatepvttransportion, Unitstatepvttransportation
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ANTHONY WRIGHT (PRESIDENT)
(631) 205-8673
Entity
Organization
Contact information
Practice address
19 MAPLE ST, WESTHAMPTON BEACH, NY 11978-2010
(631) 205-8683
(610) 205-9716
Mailing address
PO BOX 636, WESTHAMPTON, NY 11977-0636
(631) 205-8673
(610) 205-9716
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400725242
—
NY
Enumeration date
05/22/2019
Last updated
01/17/2020
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