MEDICARE: ORIENT EXPRESS TRANSIT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013059773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORIENT EXPRESS TRANSIT INC.

Provider Business Mailing Address
First Line	:	113 BARLOW DR S
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6721
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3099 EMMONS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1709
Country	:	US
Telephone Number	:	718-769-6600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VALERY MAXIMOV
Credential	:
Telephone Number	:	718-769-6600

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/22/2020

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