Healthcare Provider Details

I. General information

NPI: 1053234575
Provider Name (Legal Business Name): THE TRINITY TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 RAYMOND ST FL 2
STAMFORD CT
06902-5213
US

IV. Provider business mailing address

10 RAYMOND ST FL 2
STAMFORD CT
06902-5213
US

V. Phone/Fax

Practice location:
  • Phone: 203-252-6923
  • Fax:
Mailing address:
  • Phone: 203-252-6923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JOHN PETER DERISCA
Title or Position: OWNER
Credential:
Phone: 203-252-6923