Provider Demographics
NPI:1760924955
Name:EZ MEDICAL TRANSPORTATION INC.
Entity Type:Organization
Organization Name:EZ MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RIFKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-809-5852
Mailing Address - Street 1:1460 56TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4617
Mailing Address - Country:US
Mailing Address - Phone:718-809-5852
Mailing Address - Fax:732-286-6574
Practice Address - Street 1:1460 56TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4617
Practice Address - Country:US
Practice Address - Phone:718-809-5852
Practice Address - Fax:732-286-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-06
Last Update Date:2016-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X, 343800000X, 343900000X, 347C00000X
NY341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle