Organization
CLOVE LAKE CARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY N GARRISON (COORDINATOR)
(718) 442-0001
Entity
Organization
Contact information
Practice address
1113 VICTORY BLVD, STATEN ISLAND, NY 10301-3621
(718) 442-0001
(718) 442-8887
Mailing address
1113 VICTORY BLVD, STATEN ISLAND, NY 10301-3621
(718) 442-0001
(718) 442-8887
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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