Provider Demographics
NPI:1922592526
Name:SDR TRANSPORTATION CORP.
Entity Type:Organization
Organization Name:SDR TRANSPORTATION CORP.
Other - Org Name:SDR TRANSPORTATIONCORP.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SORILINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-929-5146
Mailing Address - Street 1:912 SOUNDVIEW AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-3747
Mailing Address - Country:US
Mailing Address - Phone:718-863-0002
Mailing Address - Fax:
Practice Address - Street 1:912 SOUNDVIEW AVE STE 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3747
Practice Address - Country:US
Practice Address - Phone:718-863-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB03017347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04683441Medicaid