MEDICARE: FVR TRANSPORTATION INC

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	:	1528611837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FVR TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	1379 WHITE PLAINS RD # 301
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4101
Country	:	US
Telephone Number	:	917-929-5146
Fax Number	:	646-713-1269

Provider Business Practice Location Address
First Line	:	1379 WHITE PLAINS RD # 301
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4101
Country	:	US
Telephone Number	:	917-929-5146
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SORILINDA FRANCISCO
Credential	:
Telephone Number	:	917-929-5146

Provider Enumeration Date	:	07/17/2019
Last Update Date	:	07/17/2019

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