Provider Demographics
NPI:1699037341
Name:NATIONAL TRANSPLANT FLIGHT GROUP, LLC
Entity Type:Organization
Organization Name:NATIONAL TRANSPLANT FLIGHT GROUP, LLC
Other - Org Name:NTFG
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:W
Authorized Official - Last Name:POLINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-791-3111
Mailing Address - Street 1:1730 VULTEE ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4741
Mailing Address - Country:US
Mailing Address - Phone:610-791-3111
Mailing Address - Fax:
Practice Address - Street 1:236 SING SING RD
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-1072
Practice Address - Country:US
Practice Address - Phone:610-791-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTF7138379344800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344800000XTransportation ServicesAir Carrier