Organization
PARK AVE TAXI, LLC
Active
Other names
Park Ave Taxi
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTENEHE MELKIE (GENERAL MANAGER)
(585) 442-4444
Entity
Organization
Contact information
Practice address
1100 UNIVERSITY AVE STE 208, ROCHESTER, NY 14607-1653
(585) 442-4444
Mailing address
1100 UNIVERSITY AVE STE 208, ROCHESTER, NY 14607-1653
(585) 442-4444
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04124049
—
NY
Enumeration date
01/25/2019
Last updated
01/25/2019
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