Provider Demographics
NPI:1518591833
Name:ELISE TRANSPORTATION,INC
Entity Type:Organization
Organization Name:ELISE TRANSPORTATION,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-451-8226
Mailing Address - Street 1:5124 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3843
Mailing Address - Country:US
Mailing Address - Phone:516-451-8226
Mailing Address - Fax:718-377-0098
Practice Address - Street 1:5124 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3843
Practice Address - Country:US
Practice Address - Phone:516-451-8226
Practice Address - Fax:718-377-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)