Provider Demographics
NPI:1306245428
Name:ERIE NIAGARA TAXI
Entity type:Organization
Organization Name:ERIE NIAGARA TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TAXI DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGIDO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:PICHARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-603-0609
Mailing Address - Street 1:71 MARNE RD
Mailing Address - Street 2:LOWER APT.
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14215
Mailing Address - Country:US
Mailing Address - Phone:716-310-6874
Mailing Address - Fax:
Practice Address - Street 1:71 MARNE RD.
Practice Address - Street 2:LOWER APT.
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-310-6874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11218157344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi