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General NPI Number Information
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NPI Number | 1841189628
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Entity Type | Organization
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Legal Business Name | FIVE BOROUGHS TRANSPORT AUTHORITY LLC
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 600 GULF AVE FL 2
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City | STATEN ISLAND
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State | NY
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Zip | 10314-7104
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Country | US
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Telephone | 929-800-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 GOETHALS RD N APT G11
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City | STATEN ISLAND
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State | NY
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Zip | 10303-1418
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Country | US
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Telephone | 929-800-2024
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDRE ORTIZ-SOTO
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Credential |
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Telephone | 929-800-2024
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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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