Healthcare Provider Details

I. General information

NPI: 1154770477
Provider Name (Legal Business Name): BUZZ TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2816 ATLANTIC AVE
HUDSON NY
12534-3313
US

IV. Provider business mailing address

2816 ATLANTIC AVE
HUDSON NY
12534-3313
US

V. Phone/Fax

Practice location:
  • Phone: 518-821-3469
  • Fax:
Mailing address:
  • Phone: 518-821-3469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number26
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number34
License Number StateNY

VIII. Authorized Official

Name: MR. RANDOLPH RHYMAUN
Title or Position: OWNER
Credential:
Phone: 518-821-3469