Healthcare Provider Details

I. General information

NPI: 1326527599
Provider Name (Legal Business Name): BLUEWATER MEDICAL TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 SUNDRIDGE DR
AMHERST NY
14228-1807
US

IV. Provider business mailing address

258 SUNDRIDGE DR
AMHERST NY
14228-1807
US

V. Phone/Fax

Practice location:
  • Phone: 716-908-7747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number227684191
License Number StateNY

VIII. Authorized Official

Name: NARINDERJIT SINGH
Title or Position: PRESIDENT
Credential:
Phone: 607-377-7075