Provider Demographics
NPI:1760253330
Name:STEP STONE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:STEP STONE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:NSANZIMFURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-990-8123
Mailing Address - Street 1:208 HAZELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3567
Mailing Address - Country:US
Mailing Address - Phone:716-990-8123
Mailing Address - Fax:
Practice Address - Street 1:208 HAZELWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3567
Practice Address - Country:US
Practice Address - Phone:716-990-8123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)