Provider Demographics
NPI:1992243158
Name:ABIEL TRANSPORTATION CORP
Entity type:Organization
Organization Name:ABIEL TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERCILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-805-6128
Mailing Address - Street 1:261 E KINGSBRIDGE RD
Mailing Address - Street 2:APT N46
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-4405
Mailing Address - Country:US
Mailing Address - Phone:718-733-6000
Mailing Address - Fax:
Practice Address - Street 1:261 E KINGSBRIDGE RD
Practice Address - Street 2:APT N46
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-4405
Practice Address - Country:US
Practice Address - Phone:718-733-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02967344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04482748Medicaid