Individual
SUBI JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 SUSAN DR, NEW CITY, NY 10956-4024
(845) 709-6766
(845) 709-6677
Mailing address
86 SUSAN DR, NEW CITY, NY 10956-4024
(845) 709-6766
(845) 709-6677
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
04467736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04467736
—
NY
Enumeration date
01/03/2019
Last updated
01/03/2019
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