1780043414 NPI number — MILLIE'S MEDICAL TRANSPORTATION

Table of content: (NPI 1780043414)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780043414 NPI number — MILLIE'S MEDICAL TRANSPORTATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MILLIE'S MEDICAL TRANSPORTATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780043414
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
235 S LEXINGTON AVE
Provider Second Line Business Mailing Address:
APT. 5K
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10606-2545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-282-0056
Provider Business Mailing Address Fax Number:
914-437-8533

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 S LEXINGTON AVE
Provider Second Line Business Practice Location Address:
APT. 5K
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10606-2545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-282-0056
Provider Business Practice Location Address Fax Number:
914-437-8533
Provider Enumeration Date:
02/23/2016

Additional Information

Authorized Official

Authorized Official Last Name:
HERNANDEZ
Authorized Official First Name:
MILAGROS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MANAGER
Authorized Official Telephone Number:
914-282-0056

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  970496074 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com