Provider Demographics
NPI:1659381259
Name:GALAXY TRANSPORTATION INC
Entity Type:Organization
Organization Name:GALAXY TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:INGBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-824-7500
Mailing Address - Street 1:154 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1637
Mailing Address - Country:US
Mailing Address - Phone:718-824-7500
Mailing Address - Fax:718-824-3426
Practice Address - Street 1:154 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1637
Practice Address - Country:US
Practice Address - Phone:718-824-7500
Practice Address - Fax:718-824-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB90531343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02103079Medicaid