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Organization

REDIVAN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARAH ELIZABETH JACKSON (PRESIDENT)
(607) 235-9112
Entity
Organization

Contact information

Practice address
69 BEETHOVEN ST, BINGHAMTON, NY 13905-4233
(607) 760-8013
(607) 217-5397
Mailing address
69 BEETHOVEN ST, BINGHAMTON, NY 13905-4233
(607) 760-8013
(607) 217-5397

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
37792
NY

Other

Enumeration date
07/17/2010
Last updated
07/17/2010
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