Provider Demographics
NPI:1841791803
Name:WATERBURY YELLOW CAB AND SERVICE COMPANY, INC.
Entity Type:Organization
Organization Name:WATERBURY YELLOW CAB AND SERVICE COMPANY, INC.
Other - Org Name:YELLOW CAB COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RISK MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-443-1655
Mailing Address - Street 1:176 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-1215
Mailing Address - Country:US
Mailing Address - Phone:860-443-1655
Mailing Address - Fax:860-447-3383
Practice Address - Street 1:176 CROSS RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-1215
Practice Address - Country:US
Practice Address - Phone:860-443-1655
Practice Address - Fax:860-447-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT107344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi