MEDICARE: A1 ACCESSIBLE 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	:	1518504703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 ACCESSIBLE TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	57 W 57TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-2827
Country	:	US
Telephone Number	:	212-496-0177
Fax Number	:	347-221-1940

Provider Business Practice Location Address
First Line	:	57 W 57TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-2827
Country	:	US
Telephone Number	:	212-496-0177
Fax Number	:	347-221-1940

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	KAREEM NELSON
Credential	:
Telephone Number	:	212-496-0177

Provider Enumeration Date	:	12/06/2019
Last Update Date	:	12/06/2019

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