Provider Demographics
NPI:1982426797
Name:FAMOUS TRANSPORT INC
Entity type:Organization
Organization Name:FAMOUS TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASERIOBIOME
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-841-9406
Mailing Address - Street 1:4515 CULVER RD STE 108
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-1439
Mailing Address - Country:US
Mailing Address - Phone:585-953-4967
Mailing Address - Fax:
Practice Address - Street 1:4515 CULVER RD STE 108
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-1439
Practice Address - Country:US
Practice Address - Phone:585-953-4967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty