Healthcare Provider Details

I. General information

NPI: 1841478690
Provider Name (Legal Business Name): FACILITY TRANSPORT SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 02/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRIDGE ST
GLEN COVE NY
11542-2546
US

IV. Provider business mailing address

19 BRIDGE ST
GLEN COVE NY
11542-2546
US

V. Phone/Fax

Practice location:
  • Phone: 516-674-2300
  • Fax: 516-676-3777
Mailing address:
  • Phone: 516-674-2300
  • Fax: 516-676-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number35585
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number35585
License Number StateNY

VIII. Authorized Official

Name: MR. GIL AMADO
Title or Position: PRESIDENT
Credential:
Phone: 516-674-2300