| Organization Name: | GARY CRBONELLO |
| NPI Number: | 1245633296 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY CARBONELLO (OWNER) |
| Mailing Address: | 8 Vernon St Ayer |
| State: | MA US |
| Postal Code: | 014321024 |
| Phone Number: | 9784137480 |
| Fax Number: | 7745011117 |
| NPI Enumeration Date: | 10/06/2014 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | 343900000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |