Provider Demographics
NPI:1992216626
Name:1000 TRANSPORTATION CORPORATION
Entity type:Organization
Organization Name:1000 TRANSPORTATION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MISS
Authorized Official - First Name:TASHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-303-2188
Mailing Address - Street 1:229 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1205
Mailing Address - Country:US
Mailing Address - Phone:518-303-2188
Mailing Address - Fax:518-377-4657
Practice Address - Street 1:229 ELM ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1205
Practice Address - Country:US
Practice Address - Phone:518-303-2188
Practice Address - Fax:518-377-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY695249542344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04746672Medicaid