Provider Demographics
NPI:1194284679
Name:RANGE TRANSPORTATION INCORPORATED
Entity type:Organization
Organization Name:RANGE TRANSPORTATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMET
Authorized Official - Middle Name:
Authorized Official - Last Name:YENIYILDIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-770-7070
Mailing Address - Street 1:320 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2316
Mailing Address - Country:US
Mailing Address - Phone:585-770-7070
Mailing Address - Fax:
Practice Address - Street 1:320 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2316
Practice Address - Country:US
Practice Address - Phone:585-770-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05052626Medicaid