Organization
ULTRA MEDICAL TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALTAZAR MELENDEZ (VICE PRESIDENT)
(585) 764-0018
Entity
Organization
Contact information
Practice address
19 WATERSONG TRL, WEBSTER, NY 14580-4605
(585) 764-0018
Mailing address
19 WATERSONG TRL, WEBSTER, NY 14580-4605
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03249103
—
NY
Enumeration date
03/30/2015
Last updated
03/30/2015
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