=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659005494
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACER TRANSPORTATION INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2022
-----------------------------------------------------
Last Update Date | 07/15/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2295 FILLMORE AVE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14214-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-717-0075
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2295 FILLMORE AVE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14214-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-717-0075
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MAEN SAEED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 716-717-0075
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------