Individual
JOSE L CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 WHITE ST, FREDONIA, NY 14063-1817
(716) 467-1541
Mailing address
39 WHITE ST, FREDONIA, NY 14063-1817
(716) 467-1541
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
250353096
NY
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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