Provider Demographics
NPI:1740780519
Name:SHORE TRANSPORTATION INC
Entity Type:Organization
Organization Name:SHORE TRANSPORTATION INC
Other - Org Name:SEASIDE CAR SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSHKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-646-6666
Mailing Address - Street 1:3173 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6443
Mailing Address - Country:US
Mailing Address - Phone:718-646-6666
Mailing Address - Fax:718-646-6213
Practice Address - Street 1:3173 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6443
Practice Address - Country:US
Practice Address - Phone:718-646-6666
Practice Address - Fax:718-646-6213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-17
Last Update Date:2018-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB01482343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)