Organization
ESR MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BRANTLEY (OWNER)
(716) 818-8899
Entity
Organization
Contact information
Practice address
1868 NIAGARA FALLS BLVD, SUITE 208, TONAWANDA, NY 14150
(716) 389-0080
Mailing address
1868 NIAGARA FALLS BLVD, SUITE 208, TONAWANDA, NY 14150
(716) 389-0080
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07401898
—
NY
Enumeration date
05/10/2023
Last updated
05/10/2023
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