Healthcare Provider Details

I. General information

NPI: 1417413527
Provider Name (Legal Business Name): NBJ NON-EMERGENCY MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 02/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 TREMONT ST STE 112
ROCHESTER NY
14608-2393
US

IV. Provider business mailing address

215 TREMONT ST STE 112
ROCHESTER NY
14608-2393
US

V. Phone/Fax

Practice location:
  • Phone: 585-483-5141
  • Fax: 585-280-5285
Mailing address:
  • Phone: 585-483-5141
  • Fax: 585-280-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. NAKU Q ORTIZ
Title or Position: OPERATIONS MANANGER
Credential:
Phone: 914-250-8130