MEDICARE: ANOLA TRANSPORTATION ON DEMAND

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	:	1205487956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOLA TRANSPORTATION ON DEMAND

Provider Business Mailing Address
First Line	:	118 RUGBY AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14619-1138
Country	:	US
Telephone Number	:	585-464-0723
Fax Number	:	585-235-0239

Provider Business Practice Location Address
First Line	:	118 RUGBY AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14619-1138
Country	:	US
Telephone Number	:	585-464-0723
Fax Number	:	585-235-0239

Authorized Official
Title or Position	:	OWNER
Name	:	MS. PATRICIA ANN JUNIOUS
Credential	:
Telephone Number	:	585-315-8781

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	01/21/2020

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Directions to “ANOLA TRANSPORTATION ON DEMAND ” Practice Location

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