Trevonne Gilliard

LBN: Trevonne Gilliard
Trevonne Gilliard is an health care organization with primary practice located at 5179 Main Street Bx 656, South Fallsburg NY 12779. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Taxi. Transportation Services / Taxi is the primary health care specialty. Trevonne Gilliard can be contacted via phone (845) 434-2822, or through Gilliard, Trevonne via phone (845) 434-2822.

Contact Information

Primary practice address
5179 Main Street Bx 656 South Fallsburg NY 12779
Phone: (845) 434-2822
Fax: (845) 434-2821
Website:
Map and Directions
Authorized official contact:
Name: Gilliard, Trevonne
Phone: (845) 434-2822

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Taxi 344600000X

Profile Details

NPI number 1194433193
LBN Legal business name Trevonne Gilliard
DBA Doing business as
Authorized official Gilliard, Trevonne
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2022
Last updated Nov 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194433193 NPPES
New York MEDICAID 03229509

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