Provider Demographics
NPI:1689229320
Name:MY WAY TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:MY WAY TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEIGHTON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LIVERY SERVICE
Authorized Official - Phone:585-414-7935
Mailing Address - Street 1:79 KRON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-2035
Mailing Address - Country:US
Mailing Address - Phone:585-414-7935
Mailing Address - Fax:585-355-4719
Practice Address - Street 1:79 KRON ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-2035
Practice Address - Country:US
Practice Address - Phone:585-414-7935
Practice Address - Fax:585-355-4719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04797480Medicaid