Apollo 13

Primary specialty

TaxiTaxonomy code 344600000X

License

425738283 Issued in NY

Legal business name

APOLLO 13

Practice address

124 Strand PL
Syracuse, NY 13208-2718

Phone

(315) 708-9283

NPI assigned

Jul 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sally Koundoul

Title

Taxi Driver 31

Phone

(315) 708-9283

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1851776306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 STRAND PL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 STRAND PL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082718",
            "telephone_number": "315-708-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO 13",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "KOUNDOUL",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "TAXI DRIVER 31",
        "authorized_official_telephone_number": "315-708-9283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "425738283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Taxi in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.