MEDICARE: NIAGARA CHAUFFEUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi		NY

General Provider Information

NPI Number	:	1003347360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIAGARA CHAUFFEUR

Provider Business Mailing Address
First Line	:	3607 PINE AVE
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14301-2626
Country	:	US
Telephone Number	:	716-371-0870
Fax Number	:

Provider Business Practice Location Address
First Line	:	3607 PINE AVE
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14301-2626
Country	:	US
Telephone Number	:	716-371-0870
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MATTHEW LEPINE
Credential	:
Telephone Number	:	716-371-0870

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	03/27/2017

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