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NPI Code Detail

MEDICARE: LEE'S AMBULATE AND TRANSPORTATION SVC.

MEDICARE: LEE'S AMBULATE AND TRANSPORTATION SVC.
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
1347C00000XPrivate VehicleNY
2347E00000XTransportation BrokerNY

General Provider Information

NPI Number : 1295123214
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEE'S AMBULATE AND TRANSPORTATION SVC.
Provider Business Mailing Address
First Line : PO BOX 7451
Second Line :
City : FREEPORT
State : NY
Zip : 11520-7451
Country : US
Telephone Number : 516-476-4029
Fax Number : 516-476-4029
Provider Business Practice Location Address
First Line : 107 BROADWAY APT 6
Second Line : APT 6
City : FREEPORT
State : NY
Zip : 11520-7451
Country : US
Telephone Number : 516-476-4029
Fax Number : 516-476-4029
Authorized Official
Title or Position : OWNER/DRIVER
Name : MRS. VERONICA BUCKLES
Credential : TRANSPORTATION OWNER
Telephone Number : 516-476-4029
Provider Enumeration Date : 12/29/2014
Last Update Date : 09/07/2023

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Directions to “LEE'S AMBULATE AND TRANSPORTATION SVC. ” Practice Location

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