Provider Demographics
NPI:1922305903
Name:GUARDIAN PARATRANSIT, INC
Entity Type:Organization
Organization Name:GUARDIAN PARATRANSIT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TRES
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-733-3351
Mailing Address - Street 1:410 CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-1211
Mailing Address - Country:US
Mailing Address - Phone:315-733-3351
Mailing Address - Fax:
Practice Address - Street 1:410 CATHERINE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-1211
Practice Address - Country:US
Practice Address - Phone:315-733-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)