Healthcare Provider Details

I. General information

NPI: 1790608636
Provider Name (Legal Business Name): SIS ACQUISITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HANCOCK ST STE 5
STRATFORD CT
06615-6259
US

IV. Provider business mailing address

2311 M ST NW APT 703
WASHINGTON DC
20037-1462
US

V. Phone/Fax

Practice location:
  • Phone: 646-265-1084
  • Fax:
Mailing address:
  • Phone: 361-563-1858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL J DUMAN
Title or Position: PRESIDENT
Credential:
Phone: 361-563-1858