Healthcare Provider Details

I. General information

NPI: 1437786852
Provider Name (Legal Business Name): ZOOM RIDE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BOTSFORD PL
BUFFALO NY
14216-2601
US

IV. Provider business mailing address

81 BOTSFORD PL
BUFFALO NY
14216-2601
US

V. Phone/Fax

Practice location:
  • Phone: 716-466-9666
  • Fax:
Mailing address:
  • Phone: 716-466-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: DJORDJE SAVIJA
Title or Position: OWNER
Credential:
Phone: 716-466-9666