Provider Demographics
NPI:1104394014
Name:ABIAN TRANSPORTATION INC .
Entity Type:Organization
Organization Name:ABIAN TRANSPORTATION INC .
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOKASTA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-455-8053
Mailing Address - Street 1:476 E 146TH ST # 2STO
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4134
Mailing Address - Country:US
Mailing Address - Phone:718-879-7070
Mailing Address - Fax:
Practice Address - Street 1:476 E 146TH ST # 2STO
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4134
Practice Address - Country:US
Practice Address - Phone:718-879-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========Medicaid