Provider Demographics
NPI:1033678511
Name:NEWSTAR TRANSPORT SERVICE
Entity Type:Organization
Organization Name:NEWSTAR TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMET
Authorized Official - Middle Name:
Authorized Official - Last Name:YENIYILDIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-200-6678
Mailing Address - Street 1:1 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-9305
Mailing Address - Country:US
Mailing Address - Phone:585-200-6678
Mailing Address - Fax:
Practice Address - Street 1:1 SUNNYSIDE DR
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-9305
Practice Address - Country:US
Practice Address - Phone:585-200-6678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW STAR TRANSPORT SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)