Healthcare Provider Details

I. General information

NPI: 1093619330
Provider Name (Legal Business Name): TNR TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 SNYDER AVE
PHILADELPHIA PA
19145-2943
US

IV. Provider business mailing address

908 NORTHWAY ST
SYRACUSE NY
13224-1325
US

V. Phone/Fax

Practice location:
  • Phone: 609-280-4148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAVON MOORE
Title or Position: CO OWNER
Credential:
Phone: 315-278-2935