Provider Demographics
NPI:1346020005
Name:TRANSPORTATION AND LOADS D&W CORP
Entity Type:Organization
Organization Name:TRANSPORTATION AND LOADS D&W CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-507-5838
Mailing Address - Street 1:9 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-2320
Mailing Address - Country:US
Mailing Address - Phone:631-507-5838
Mailing Address - Fax:
Practice Address - Street 1:9 STERLING DR
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-2320
Practice Address - Country:US
Practice Address - Phone:631-507-5838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)