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General NPI Number Information
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NPI Number | 1285880054
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Entity Type | Organization
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Legal Business Name | EMPIRE STATE MEDI-CAB, INC.
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 555 BROADHOLLOW ROAD, SUITE 272
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City | MELVILLE
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State | NY
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Zip | 11747-5001
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Country | US
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Telephone | 631-777-7333
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Fax | 631-777-7335
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Provider Business Mailing Address
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Address Line | 555 BROADHOLLOW ROAD, SUITE 272
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City | MELVILLE
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State | NY
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Zip | 11747-5001
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Country | US
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Telephone | 631-777-7333
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Fax | 631-777-7335
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT GONZALEZ
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Credential |
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Telephone | 631-777-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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