Provider Demographics
NPI:1922799949
Name:EZ TRANSPORT
Entity Type:Organization
Organization Name:EZ TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLASP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-418-0453
Mailing Address - Street 1:789 SAINT MARKS AVE APT 17E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1466
Mailing Address - Country:US
Mailing Address - Phone:646-418-0453
Mailing Address - Fax:
Practice Address - Street 1:789 SAINT MARKS AVE APT 17E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1466
Practice Address - Country:US
Practice Address - Phone:646-418-0453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)