Provider Demographics
NPI:1053647792
Name:COAST 2 COAST ENTERPRISES
Entity Type:Organization
Organization Name:COAST 2 COAST ENTERPRISES
Other - Org Name:COAST 2 COAST TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:S.KASSON
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-624-1283
Mailing Address - Street 1:232 W 116TH ST
Mailing Address - Street 2:MORNINGSIDE STATION SUITE #21
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-4903
Mailing Address - Country:US
Mailing Address - Phone:646-624-1283
Mailing Address - Fax:888-609-3688
Practice Address - Street 1:84 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-6250
Practice Address - Country:US
Practice Address - Phone:646-624-1283
Practice Address - Fax:888-609-3688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY67080LA343800000X, 343900000X
NYT519064C344600000X
NYESJ4687347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle