Provider Demographics
NPI:1669664140
Name:REM TRANSPORTATION INC
Entity Type:Organization
Organization Name:REM TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-616-0693
Mailing Address - Street 1:2404 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2511
Mailing Address - Country:US
Mailing Address - Phone:718-616-0693
Mailing Address - Fax:718-891-2601
Practice Address - Street 1:2404 E 23RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2511
Practice Address - Country:US
Practice Address - Phone:718-616-0693
Practice Address - Fax:718-891-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02407138Medicaid