Provider Demographics
NPI:1346475621
Name:SERAFINI TRANSPORTATION CORP
Entity type:Organization
Organization Name:SERAFINI TRANSPORTATION CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:SERAFINI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:607-729-3511
Mailing Address - Street 1:PO BOX 978
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13851-0978
Mailing Address - Country:US
Mailing Address - Phone:607-729-3511
Mailing Address - Fax:607-762-5484
Practice Address - Street 1:375 STATE ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-2330
Practice Address - Country:US
Practice Address - Phone:607-762-5480
Practice Address - Fax:607-762-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03093478Medicaid