MEDICARE: MALI TRANSPORTATION LLC

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	:	1295577211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALI TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	143 AURAMAR DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-1818
Country	:	US
Telephone Number	:	585-414-7037
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 AURAMAR DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-1818
Country	:	US
Telephone Number	:	585-414-7037
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	AMAL NUR ABDI
Credential	:
Telephone Number	:	585-414-7037

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	06/10/2024

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Directions to “MALI TRANSPORTATION LLC ” Practice Location

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