Provider Demographics
NPI:1164747044
Name:COLONIAL TRANSPORTATION
Entity Type:Organization
Organization Name:COLONIAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOETHIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-589-3500
Mailing Address - Street 1:282 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2712
Mailing Address - Country:US
Mailing Address - Phone:631-589-3500
Mailing Address - Fax:631-589-3436
Practice Address - Street 1:282 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2712
Practice Address - Country:US
Practice Address - Phone:631-589-3500
Practice Address - Fax:631-589-3436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi