Organization
GREEN CAB BNY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MILLS (PRESIDENT)
(716) 380-0233
Entity
Organization
Contact information
Practice address
93 MARYVALE DR, CHEEKTOWAGA, NY 14225-2528
(716) 380-0233
(716) 332-0673
Mailing address
PO BOX 255, CHEEKTOWAGA, NY 14225-0255
(716) 380-0233
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04483203
—
NY
Enumeration date
10/12/2017
Last updated
10/12/2017
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