Provider Demographics
NPI:1588491922
Name:KOBA LOCAL TRANSPORTATION
Entity type:Organization
Organization Name:KOBA LOCAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOSIASHVILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-971-2873
Mailing Address - Street 1:1850 82ND ST APT 6H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2276
Mailing Address - Country:US
Mailing Address - Phone:347-971-2873
Mailing Address - Fax:201-907-1180
Practice Address - Street 1:1850 82ND ST APT 6H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2276
Practice Address - Country:US
Practice Address - Phone:347-971-2873
Practice Address - Fax:201-907-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi