Healthcare Provider Details

I. General information

NPI: 1962817056
Provider Name (Legal Business Name): MT MORRIS TAXI SERVICE II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DAMONSVILLE ST
MOUNT MORRIS NY
14510-1127
US

IV. Provider business mailing address

24 DAMONSVILLE ST
MOUNT MORRIS NY
14510-1127
US

V. Phone/Fax

Practice location:
  • Phone: 585-658-4515
  • Fax: 585-658-9178
Mailing address:
  • Phone: 585-658-4515
  • Fax: 585-658-9178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHEILA K MCCART
Title or Position: PRESIDENT
Credential:
Phone: 585-658-4515