MEDICARE: ROCHESTER MEDICAL TRANSPORTATION

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	343900000X	Non-emergency Medical Transport (VAN)	34662	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	113440FX	OTHER	NY	PREFERRED CARE

General Provider Information

NPI Number	:	1164487211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCHESTER MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2140 EAST MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609
Country	:	US
Telephone Number	:	585-288-3444
Fax Number	:	585-654-9543

Provider Business Practice Location Address
First Line	:	2140 EAST MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609
Country	:	US
Telephone Number	:	585-288-3444
Fax Number	:	585-654-9543

Authorized Official
Title or Position	:	VP
Name	:	MR. ARON YEFRAIMOV
Credential	:
Telephone Number	:	585-288-3444

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	08/22/2020

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Directions to “ROCHESTER MEDICAL TRANSPORTATION ” Practice Location

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