Organization
MASSIVE TRANSPORTATION INC
Active
Other names
BLACKSEA TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
DURVIJAI PERSAUD (VICE PRESIDENT)
(619) 253-6590
Entity
Organization
Contact information
Practice address
145 BROOKSIDE AVE, MOUNT VERNON, NY 10553-1347
(914) 664-3124
(914) 665-3130
Mailing address
145 BROOKSIDE AVE, MOUNT VERNON, NY 10553-1347
(914) 664-3124
(914) 665-3130
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04042297
—
NY
Enumeration date
07/29/2015
Last updated
07/29/2015
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