Provider Demographics
NPI:1851420673
Name:ONFACO, INC.
Entity Type:Organization
Organization Name:ONFACO, INC.
Other - Org Name:WHEELCHAIR GATEWAYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:AGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-987-8600
Mailing Address - Street 1:22 MARIAN CT
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-4044
Mailing Address - Country:US
Mailing Address - Phone:845-987-8600
Mailing Address - Fax:845-987-8551
Practice Address - Street 1:22 MARIAN CT
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-4044
Practice Address - Country:US
Practice Address - Phone:845-987-8600
Practice Address - Fax:845-987-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32882343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01882388Medicaid