Provider Demographics
NPI:1528306420
Name:THORNWELL TAXI
Entity type:Organization
Organization Name:THORNWELL TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:THORNWELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:716-895-1870
Mailing Address - Street 1:19 CROSSMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14211-2106
Mailing Address - Country:US
Mailing Address - Phone:716-895-1870
Mailing Address - Fax:716-895-1802
Practice Address - Street 1:19 CROSSMAN AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14211-2106
Practice Address - Country:US
Practice Address - Phone:716-895-1870
Practice Address - Fax:716-895-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183791344600000X
NY556845603344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi