Organization
COXSACKIE TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE PARKS (PRESIDENT)
(518) 731-8242
Entity
Organization
Contact information
Practice address
250 MANSION ST, COXSACKIE, NY 12051-1605
(518) 731-8242
(518) 731-1092
Mailing address
11 WAYNE DR, COXSACKIE, NY 12051-1336
(518) 731-8242
(518) 731-1092
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01458873
—
NY
Enumeration date
07/11/2011
Last updated
07/11/2011
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