MEDICARE: SARAH VENTURES, 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	344600000X	Taxi

General Provider Information

NPI Number	:	1558816074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH VENTURES, INC.

Provider Business Mailing Address
First Line	:	296 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5612
Country	:	US
Telephone Number	:	917-819-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	296 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5612
Country	:	US
Telephone Number	:	917-819-3333
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAHAMADOU KANE
Credential	:
Telephone Number	:	917-295-9550

Provider Enumeration Date	:	08/25/2016
Last Update Date	:	08/25/2016

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