Healthcare Provider Details

I. General information

NPI: 1114372067
Provider Name (Legal Business Name): CARE TOUCH MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 04/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 LAKE AVE SUITE 2-01
ROCHESTER NY
14608-1077
US

IV. Provider business mailing address

340 LAKE AVE SUITE 2-01
ROCHESTER NY
14608-1077
US

V. Phone/Fax

Practice location:
  • Phone: 585-489-0505
  • Fax:
Mailing address:
  • Phone: 585-489-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number324475914
License Number StateNY

VIII. Authorized Official

Name: MR. EMMANUEL KALU UKPABI
Title or Position: PRESIDENT
Credential:
Phone: 585-489-0505