Mac Shol is a Transportation Broker based in Syracuse, NY. Mac Shol practices in Syracuse, NY. The NPI Number for Mac Shol is 1619462199 and holds a License No. (New York).
The current practice location address for Mac Shol is 515 Pond St, Syracuse, NY and can be reached out via phone at 315-640-5457.
Location: 515 Pond St, Syracuse, NY, 13208-2117
Provider Profile Details
NPI Number
1619462199
Provider Name
Mac Shol
Credential
Provider Entity Type
Individual
Gender
Male
Address
515 Pond St, Syracuse, NY, 13208-2117
Phone Number
315-640-5457
Fax Number
Provider Enumeration Date
06/26/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824371046 | 01 | NY | NON EMERGENCY MEDICAID TRANSPORT |
Provider Business Practice Location Address Details
Address
515 Pond St
City
State
Zip
13208-2117
Phone Number
315-640-5457
Fax Number
Provider Business Mailing Address Details
Address
515 Pond St
City
State
Zip
13208-2117
Phone Number
315-640-5457
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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