Provider Demographics
NPI:1285124867
Name:S&P MOBILITY, INC.
Entity type:Organization
Organization Name:S&P MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:OKARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-293-6848
Mailing Address - Street 1:1592 COUNTY HIGHWAY 45
Mailing Address - Street 2:
Mailing Address - City:HARTWICK
Mailing Address - State:NY
Mailing Address - Zip Code:13348-2015
Mailing Address - Country:US
Mailing Address - Phone:607-293-6848
Mailing Address - Fax:
Practice Address - Street 1:1592 COUNTY HIGHWAY 45
Practice Address - Street 2:
Practice Address - City:HARTWICK
Practice Address - State:NY
Practice Address - Zip Code:13348-2015
Practice Address - Country:US
Practice Address - Phone:607-293-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39861343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04774094Medicaid