Provider Demographics
NPI:1992230502
Name:811 TRANSIT CORP
Entity type:Organization
Organization Name:811 TRANSIT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-429-8111
Mailing Address - Street 1:3038 92ND ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1733
Mailing Address - Country:US
Mailing Address - Phone:718-429-8111
Mailing Address - Fax:
Practice Address - Street 1:3038 92ND ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1733
Practice Address - Country:US
Practice Address - Phone:718-429-8111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02834344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04114527Medicaid