Organization
APOLLO 13
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALLY KOUNDOUL (TAXI DRIVER 31)
(315) 708-9283
Entity
Organization
Contact information
Practice address
124 STRAND PL, SYRACUSE, NY 13208-2718
(315) 708-9283
Mailing address
124 STRAND PL, SYRACUSE, NY 13208-2718
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
425738283
NY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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