MEDICARE: A&P 1&2 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	344600000X	Taxi
3	347E00000X	Transportation Broker
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1477287449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&P 1&2 LLC

Provider Business Mailing Address
First Line	:	147 ROCKAWAY PKWY APT 1R
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3638
Country	:	US
Telephone Number	:	347-635-3102
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 ROCKAWAY PKWY APT 1R
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3638
Country	:	US
Telephone Number	:	347-635-3102
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	SHANICE ALSTON
Credential	:
Telephone Number	:	347-635-3102

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	07/29/2022

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Directions to “A&P 1&2 LLC ” Practice Location

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