Provider Demographics
NPI:1770859068
Name:CAPRICORN TRANSPORTATION CORP
Entity Type:Organization
Organization Name:CAPRICORN TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-678-6569
Mailing Address - Street 1:1338 E 69TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5703
Mailing Address - Country:US
Mailing Address - Phone:347-678-6569
Mailing Address - Fax:347-702-7243
Practice Address - Street 1:1338 E 69TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5703
Practice Address - Country:US
Practice Address - Phone:347-678-6569
Practice Address - Fax:347-702-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)