Provider Demographics
NPI:1598118556
Name:ITC. INNOVATIVE TRANSPORTATION CONCEPT
Entity Type:Organization
Organization Name:ITC. INNOVATIVE TRANSPORTATION CONCEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-885-4841
Mailing Address - Street 1:7 CLEVELAND PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1453
Mailing Address - Country:US
Mailing Address - Phone:914-885-4841
Mailing Address - Fax:
Practice Address - Street 1:7 CLEVELAND PL
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1453
Practice Address - Country:US
Practice Address - Phone:914-885-4841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYDP-02540-13344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi