Healthcare Provider Details

I. General information

NPI: 1376224048
Provider Name (Legal Business Name): ROYALTY NY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 E AMHERST ST
BUFFALO NY
14215-1539
US

IV. Provider business mailing address

562 E AMHERST ST
BUFFALO NY
14215-1539
US

V. Phone/Fax

Practice location:
  • Phone: 716-239-9521
  • Fax:
Mailing address:
  • Phone: 716-239-9521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MELANDA SCOTT-TIMMONS
Title or Position: CEO
Credential:
Phone: 716-239-9521