Organization
NICKEL CITY GROUP, LLC
Active
Other names
Go Dash Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY LAVAR GIBSON (OWNER)
(716) 281-1150
Entity
Organization
Contact information
Practice address
1581 E DELAVAN AVE, BUFFALO, NY 14215-3629
(716) 281-1150
Mailing address
1581 E DELAVAN AVE, BUFFALO, NY 14215-3629
(716) 281-1150
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06085390
—
NY
Enumeration date
11/04/2020
Last updated
11/04/2020
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