MEDICARE: MAJESTIC TRANSPORTATION,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	:	1962608513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJESTIC TRANSPORTATION,INC

Provider Business Mailing Address
First Line	:	3173 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6443
Country	:	US
Telephone Number	:	718-616-1300
Fax Number	:	718-616-1306

Provider Business Practice Location Address
First Line	:	3173 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6443
Country	:	US
Telephone Number	:	718-616-1300
Fax Number	:	718-616-1306

Authorized Official
Title or Position	:	GENERAL MANEGER
Name	:	MR. IGOR GEKHTBARG
Credential	:
Telephone Number	:	718-616-1300

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	08/22/2020

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Directions to “MAJESTIC TRANSPORTATION,INC ” Practice Location

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