Healthcare Provider Details

I. General information

NPI: 1952166258
Provider Name (Legal Business Name): RIDGEWAY TRANSIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 02/15/2024
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6809 3RD AVE
BROOKLYN NY
11220-5828
US

IV. Provider business mailing address

6809 3RD AVE
BROOKLYN NY
11220-5828
US

V. Phone/Fax

Practice location:
  • Phone: 718-748-4444
  • Fax: 718-238-0430
Mailing address:
  • Phone: 718-748-4444
  • Fax: 718-238-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN OLIVO SR.
Title or Position: MANAGER
Credential:
Phone: 917-204-8378