MEDICARE: 811 TRANSIT CORP

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	344600000X	Taxi	B02834	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	:	1992230502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	811 TRANSIT CORP

Provider Business Mailing Address
First Line	:	3038 92ND ST
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-1733
Country	:	US
Telephone Number	:	718-429-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3038 92ND ST
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-1733
Country	:	US
Telephone Number	:	718-429-8111
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VIK KUANG
Credential	:
Telephone Number	:	718-429-8111

Provider Enumeration Date	:	04/21/2017
Last Update Date	:	04/21/2017

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