Provider Demographics
NPI:1003406729
Name:UNIQUE TRANSPORT SERVICES LLC
Entity Type:Organization
Organization Name:UNIQUE TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TATIWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-639-9505
Mailing Address - Street 1:355 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:COPIAGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11726-1130
Mailing Address - Country:US
Mailing Address - Phone:631-639-9505
Mailing Address - Fax:
Practice Address - Street 1:355 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:COPIAGUE
Practice Address - State:NY
Practice Address - Zip Code:11726-1130
Practice Address - Country:US
Practice Address - Phone:631-639-9505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)