MEDICARE: VEGA TRANSPORTATION CO., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	DOT#30473	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114015336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEGA TRANSPORTATION CO., INC.

Provider Business Mailing Address
First Line	:	2357 83RD ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11370-1630
Country	:	US
Telephone Number	:	718-507-0500
Fax Number	:	718-507-1688

Provider Business Practice Location Address
First Line	:	2357 83RD ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11370-1630
Country	:	US
Telephone Number	:	718-507-0500
Fax Number	:	718-507-1688

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VILI KORN
Credential	:
Telephone Number	:	718-507-0500

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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Directions to “VEGA TRANSPORTATION CO., INC. ” Practice Location

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