MEDICARE: VOLGA TRANSPORTATION CORPORATION

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)	01915975	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	:	1568517795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLGA TRANSPORTATION CORPORATION

Provider Business Mailing Address
First Line	:	2407 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2516
Country	:	US
Telephone Number	:	718-743-7979
Fax Number	:	718-743-6901

Provider Business Practice Location Address
First Line	:	2407 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2516
Country	:	US
Telephone Number	:	718-743-7979
Fax Number	:	718-743-6901

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALEXANDER ROYTERMAN
Credential	:
Telephone Number	:	718-743-7979

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/25/2008

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Directions to “VOLGA TRANSPORTATION CORPORATION ” Practice Location

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