Provider Demographics
NPI:1992307565
Name:ESSENTIAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:ESSENTIAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DALMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-678-2119
Mailing Address - Street 1:3 NEPTUNE RD STE R20
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5500
Mailing Address - Country:US
Mailing Address - Phone:845-319-7979
Mailing Address - Fax:
Practice Address - Street 1:3 NEPTUNE RD STE R20
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5500
Practice Address - Country:US
Practice Address - Phone:845-319-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)