Organization
SOVEREIGN TRANSPORTATION INC.
Active
Other names
Patriot Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG SHELEST (PRESIDENT)
(718) 435-0700
Entity
Organization
Contact information
Practice address
774 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1737
(718) 435-0700
Mailing address
774 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1737
(718) 435-0700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02779986
—
NY
Enumeration date
05/09/2007
Last updated
08/22/2020
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