Provider Demographics
NPI:1720582521
Name:SELECT TRANS INC
Entity Type:Organization
Organization Name:SELECT TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OFFCIE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTIGUA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-757-0701
Mailing Address - Street 1:133 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-4432
Mailing Address - Country:US
Mailing Address - Phone:718-757-0701
Mailing Address - Fax:
Practice Address - Street 1:3411 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2310
Practice Address - Country:US
Practice Address - Phone:718-757-0701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB03111344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherEMPLOYER ID NUMBER