Healthcare Provider Details

I. General information

NPI: 1871049627
Provider Name (Legal Business Name): ZOOM TAXI AND TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 INDUSTRIAL DRIVE
QUOGUE NY
11959-1870
US

IV. Provider business mailing address

PO BOX 532
WESTHAMPTON NY
11977-0532
US

V. Phone/Fax

Practice location:
  • Phone: 631-288-5555
  • Fax:
Mailing address:
  • Phone: 631-288-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number03530563
License Number StateNY

VIII. Authorized Official

Name: MR. GEORGE MONSOUR
Title or Position: PRESIDENT
Credential:
Phone: 631-288-5555