Organization
A CLASS 1-S TRANSPORTATION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND L SMITH JR. (PRESIDENT)
(845) 381-1337
Entity
Organization
Contact information
Practice address
2 MOUNTAIN AVE, MIDDLETOWN, NY 10940-6229
(845) 381-1337
(888) 740-6885
Mailing address
56 MONRO ST, WALDEN, NY 12586-2110
(845) 381-1337
(888) 740-6885
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
12970LV
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02932929
—
NY
Enumeration date
01/25/2012
Last updated
01/25/2012
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