Organization
GBA MED TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DANIELS (PRESIDENT)
(716) 444-3654
Entity
Organization
Contact information
Practice address
14 MALLARD CT, AMHERST, NY 14228-1022
(716) 444-3654
Mailing address
14 MALLARD CT, AMHERST, NY 14228-1022
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700436029
—
NY
Enumeration date
09/18/2019
Last updated
10/21/2019
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