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Contact Information

TREVONNE GILLIARD
5179 MAIN STREET
BX 656
SOUTH FALLSBURG, NY12779
 Phone: 845-434-2822
 Fax: 845-434-2821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for TREVONNE GILLIARD

NPI Number 1194433193
LBN Legal business name TREVONNE GILLIARD
Authorized official TREVONNE GILLIARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2022
Last updated 03/03/2025 - More than a year ago
Identifiers
NY Medicaid 03229509
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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