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General NPI Number Information
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NPI Number | 1851981443
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Entity Type | Organization
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Legal Business Name | 1ST AT NEW YORK TRANSPORTATION LLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 39 VIALL AVE
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City | MECHANICVILLE
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State | NY
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Zip | 12118-1032
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Country | US
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Telephone | 518-269-0011
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Fax | 518-708-8780
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Provider Business Mailing Address
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Address Line | 39 VIALL AVE
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City | MECHANICVILLE
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State | NY
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Zip | 12118-1032
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Country | US
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Telephone | 518-269-0011
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Fax | 518-708-8780
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Authorized Official
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Title or Position | OWNER/CEO
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Name | GINO ANTHONY LONTRATO
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Credential |
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Telephone | 518-269-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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