Provider Demographics
NPI:1356864128
Name:JOSEPH AND ELENA TOMPKINS
Entity Type:Organization
Organization Name:JOSEPH AND ELENA TOMPKINS
Other - Org Name:ABES TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:845-647-8677
Mailing Address - Street 1:57 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ELLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12428-2620
Mailing Address - Country:US
Mailing Address - Phone:845-647-8677
Mailing Address - Fax:845-647-4984
Practice Address - Street 1:73 CENTER STREET
Practice Address - Street 2:73 CENTER STREET - PO BOX 222
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428
Practice Address - Country:US
Practice Address - Phone:845-647-8677
Practice Address - Fax:845-647-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03133997Medicaid