MEDICARE: ARACELIS MARTE

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)		NY

General Provider Information

NPI Number	:	1619723004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARACELIS MARTE

Provider Business Mailing Address
First Line	:	1260 N FOREST RD APT A9
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-3251
Country	:	US
Telephone Number	:	646-287-3879
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 N FOREST RD APT A9
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-3251
Country	:	US
Telephone Number	:	646-287-3879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/25/2024

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Directions to “ ARACELIS MARTE ” Practice Location

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