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Ismael Otero
Non-emergency Medical Transport (VAN) in Wyandanch, New York
NPI 1437761921

Ismael Otero is a Non-emergency Medical Transport (VAN) based in Wyandanch, NY. Ismael Otero practices in Wyandanch, NY. The NPI Number for Ismael Otero is 1437761921 and holds a License No. CDD9306 (New York).

The current practice location address for Ismael Otero is 21 Westchester Ave, Wyandanch, NY and can be reached out via phone at 631-482-5635 and via fax at 631-920-0278.

Location: 21 Westchester Ave, Wyandanch, NY, 11798-4518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437761921
Provider Name
Ismael Otero
Credential
Provider Entity Type
Individual
Gender
Male
Address
21 Westchester Ave, Wyandanch, NY, 11798-4518
Phone Number
631-482-5635
Fax Number
631-920-0278
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Westchester Ave
City
Wyandanch
State
New York
Zip
11798-4518
Phone Number
631-482-5635
Fax Number
631-920-0278
person
Provider Business Mailing Address Details
Address
21 Westchester Ave
City
Wyandanch
State
New York
Zip
11798-4518
Phone Number
631-482-5635
Fax Number
631-920-0278
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
CDD9306 (New York)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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