Healthcare Provider Details
I. General information
NPI: 1215265574
Provider Name (Legal Business Name): SALMA TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/25/2009
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 JERICHO TPKE SUITE 201
NEW HYDE PARK NY
11040-4601
US
IV. Provider business mailing address
1300 JERICHO TPKE SUITE 201
NEW HYDE PARK NY
11040-4601
US
V. Phone/Fax
- Phone: 516-502-2018
- Fax:
- Phone: 516-502-2018
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | 424625800 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | 424625800 |
| License Number State | NY |
VIII. Authorized Official
Name:
SHABBIR
NASER
Title or Position: PRESIDENT
Credential:
Phone: 516-502-2018