NPI: 1255507752 · VALLEY STREAM, NY 11581 · Non-emergency Medical Transport (VAN) · NPI assigned 05/05/2008
| Authorized Official | ETIENNE, DAVIDSON (PARTNER/GENERAL MANAGER) |
| NPI Enumeration Date | 05/05/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $17K |
| 2020 | 28 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 56 | 56 | $30K |