Healthcare Provider Details

I. General information

NPI: 1750606620
Provider Name (Legal Business Name): HIGHLAND TRANSIT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 ROUTE 9
COLD SPRING NY
10516-3847
US

IV. Provider business mailing address

3315 ROUTE 9
COLD SPRING NY
10516-3847
US

V. Phone/Fax

Practice location:
  • Phone: 845-809-5181
  • Fax: 845-265-7655
Mailing address:
  • Phone: 845-809-5181
  • Fax: 845-265-7655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number425351384
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number425351384
License Number StateNY

VIII. Authorized Official

Name: HAMED S NAFA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 845-809-5181