Provider Demographics
NPI:1184862112
Name:ESSEX COUNTY TRANSPORTATION
Entity Type:Organization
Organization Name:ESSEX COUNTY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DOUGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-873-3689
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:7551 US RTE 9 COURT ST
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12932
Mailing Address - Country:US
Mailing Address - Phone:518-873-3689
Mailing Address - Fax:518-873-3740
Practice Address - Street 1:7551 COURT ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NY
Practice Address - Zip Code:12932
Practice Address - Country:US
Practice Address - Phone:518-873-3689
Practice Address - Fax:518-873-3740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker