Organization
BLACK SEA TRANSPORTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MOGILEVSKIY (VISE PRESIDENT)
(718) 605-1200
Entity
Organization
Contact information
Practice address
1754 HYLAN BLVD FL 2, STATEN ISLAND, NY 10305-1932
(718) 605-1200
(718) 605-0206
Mailing address
27 MICHAEL CT, STATEN ISLAND, NY 10308-2020
(718) 605-1200
(718) 605-0206
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386469
—
NY
Enumeration date
05/01/2007
Last updated
08/22/2020
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