MEDICARE: ART'S PLACE

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)

General Provider Information

NPI Number	:	1164879334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART'S PLACE

Provider Business Mailing Address
First Line	:	2077 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3805
Country	:	US
Telephone Number	:	718-934-2222
Fax Number	:	718-934-5096

Provider Business Practice Location Address
First Line	:	2077 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3805
Country	:	US
Telephone Number	:	718-934-2222
Fax Number	:	718-934-5096

Authorized Official
Title or Position	:	VP
Name	:	MR. FRED SHEFFER
Credential	:
Telephone Number	:	718-934-2222

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	05/18/2016

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Directions to “ART'S PLACE ” Practice Location

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