Provider Demographics
NPI:1033304100
Name:BMY MANAGEMENT, INC
Entity Type:Organization
Organization Name:BMY MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYNTRAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-746-9966
Mailing Address - Street 1:556 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-2496
Mailing Address - Country:US
Mailing Address - Phone:617-746-9966
Mailing Address - Fax:617-746-9967
Practice Address - Street 1:556 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-2496
Practice Address - Country:US
Practice Address - Phone:617-746-9966
Practice Address - Fax:617-746-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1719343Medicaid