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NPI Code Detail

MEDICARE: SPEEDY MEDICAL TRANSPORT

MEDICARE: SPEEDY MEDICAL TRANSPORT
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
1343900000XNon-emergency Medical Transport (VAN)31574NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861543654
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEEDY MEDICAL TRANSPORT
Provider Business Mailing Address
First Line : 2712 JAMES ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2243
Country : US
Telephone Number : 315-463-7504
Fax Number : 315-463-7498
Provider Business Practice Location Address
First Line : 2712 JAMES ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2243
Country : US
Telephone Number : 315-463-7504
Fax Number : 315-463-7498
Authorized Official
Title or Position : OWNER
Name : MR. ANTHONY CALARESE
Credential :
Telephone Number : 315-463-7504
Provider Enumeration Date : 01/16/2007
Last Update Date : 08/22/2020

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Directions to “SPEEDY MEDICAL TRANSPORT ” Practice Location

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