Provider Demographics
NPI:1922140920
Name:DAWSON TAXI
Entity Type:Organization
Organization Name:DAWSON TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:ELWOOD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:VERITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-223-0036
Mailing Address - Street 1:777 BROKLYN AVE.
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510
Mailing Address - Country:US
Mailing Address - Phone:516-223-0036
Mailing Address - Fax:516-223-2292
Practice Address - Street 1:777 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2947
Practice Address - Country:US
Practice Address - Phone:516-223-0036
Practice Address - Fax:516-223-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00394674Medicaid