Individual
PIKO MUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 AVERILL AVE, ROCHESTER, NY 14620-1205
(585) 802-8231
Mailing address
71 AVERILL AVE, ROCHESTER, NY 14620-1205
(585) 802-8231
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471727289
MEDICAL TRANSPORTATION
NY
Enumeration date
11/15/2016
Last updated
11/15/2016
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