Provider Demographics
NPI:1073729190
Name:EVENFLOW TRANSPORTATION INC
Entity Type:Organization
Organization Name:EVENFLOW TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIZZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-664-1300
Mailing Address - Street 1:PO BOX 3659
Mailing Address - Street 2:68 SANDFORD AVENUE
Mailing Address - City:MT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550
Mailing Address - Country:US
Mailing Address - Phone:914-664-1300
Mailing Address - Fax:914-664-1410
Practice Address - Street 1:68 SANDFORD AVENUE
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550
Practice Address - Country:US
Practice Address - Phone:914-664-1300
Practice Address - Fax:914-664-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01899009343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10899009Medicaid