Organization
A CLASS 1-S TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND L SMITH JR. (PRESIDENT)
(845) 401-4100
Entity
Organization
Contact information
Practice address
56 MONRO ST, WALDEN, NY 12586-2110
(845) 401-4100
Mailing address
56 MONRO ST, WALDEN, NY 12586-2110
(845) 401-4100
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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