Provider Demographics
NPI:1932655404
Name:PRIME TIME TRANSPORTATION
Entity Type:Organization
Organization Name:PRIME TIME TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:PACO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-482-7970
Mailing Address - Street 1:2320 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-4313
Mailing Address - Country:US
Mailing Address - Phone:718-482-7970
Mailing Address - Fax:718-482-7947
Practice Address - Street 1:2320 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-4313
Practice Address - Country:US
Practice Address - Phone:718-482-7970
Practice Address - Fax:718-482-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB00296344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi