MEDICARE: GDA 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	:	1902663719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GDA TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	175 PEARL ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-7508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 E 17TH ST APT 3F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4459
Country	:	US
Telephone Number	:	646-284-2703
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DAVID APRIDONIDZE
Credential	:
Telephone Number	:	646-284-2703

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	03/01/2024

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Directions to “GDA TRANSPORTATION INC. ” Practice Location

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