Provider Demographics
NPI:1437381373
Name:EMD TRANSPORT INC.
Entity Type:Organization
Organization Name:EMD TRANSPORT INC.
Other - Org Name:ISLANDWIDE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-924-2700
Mailing Address - Street 1:293 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-2505
Mailing Address - Country:US
Mailing Address - Phone:631-924-2700
Mailing Address - Fax:631-924-2711
Practice Address - Street 1:293 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-2505
Practice Address - Country:US
Practice Address - Phone:631-924-2700
Practice Address - Fax:631-924-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03079292Medicaid