Provider Demographics
NPI:1992828164
Name:DTS INC
Entity type:Organization
Organization Name:DTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-623-7023
Mailing Address - Street 1:308 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2937
Mailing Address - Country:US
Mailing Address - Phone:914-623-7023
Mailing Address - Fax:914-623-7022
Practice Address - Street 1:308 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2937
Practice Address - Country:US
Practice Address - Phone:914-623-7023
Practice Address - Fax:914-623-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02769446343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02769446Medicaid