Provider Demographics
NPI:1003347360
Name:NIAGARA CHAUFFEUR
Entity Type:Organization
Organization Name:NIAGARA CHAUFFEUR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-371-0870
Mailing Address - Street 1:3607 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-2626
Mailing Address - Country:US
Mailing Address - Phone:716-371-0870
Mailing Address - Fax:
Practice Address - Street 1:3607 PINE AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-2626
Practice Address - Country:US
Practice Address - Phone:716-371-0870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi