Provider Demographics
NPI:1063034494
Name:DBA TRANSPORTATION
Entity Type:Organization
Organization Name:DBA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMPONE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:631-235-1913
Mailing Address - Street 1:65 DAVINCI DR STE B
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2710
Mailing Address - Country:US
Mailing Address - Phone:631-580-1662
Mailing Address - Fax:
Practice Address - Street 1:65 DAVINCI DR STE B
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2710
Practice Address - Country:US
Practice Address - Phone:631-580-1662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)