Most Relevant Information
Provider Data
| NPI Number: | 1003504325 |
| Provider Name: | AWOSELY JACOB |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2023 |
| Last Updated: | 04/25/2023 |
Provider Practice Location
2041 ELK DR
FAR ROCKAWAY
NY
116913613
Practice Location Phone/Fax
| Phone: | 9293382412 |
| Fax: |
Provider Mailing Location
2041 ELK DR
FAR ROCKAWAY
NY
116913613
Provider Mailing Phone/Fax
| Phone: | 9293382412 |
| Fax: |