Healthcare Provider Details

I. General information

NPI: 1114316973
Provider Name (Legal Business Name): E5 TRANSPORTATION SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2015
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 127TH ST SUITE G33
COLLEGE POINT NY
11356-2321
US

IV. Provider business mailing address

2007 127TH ST SUITE G33
COLLEGE POINT NY
11356-2321
US

V. Phone/Fax

Practice location:
  • Phone: 917-440-5768
  • Fax:
Mailing address:
  • Phone: 917-440-5768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB02821
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License NumberB02821
License Number StateNY

VIII. Authorized Official

Name: YANNY LEI
Title or Position: TREASURER
Credential:
Phone: 917-440-5768