Provider Demographics
NPI:1003147133
Name:PAISANO TRANSPORTATION INC
Entity type:Organization
Organization Name:PAISANO TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARCISO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-965-1333
Mailing Address - Street 1:86 MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2483
Mailing Address - Country:US
Mailing Address - Phone:914-965-1333
Mailing Address - Fax:914-965-6363
Practice Address - Street 1:86 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2483
Practice Address - Country:US
Practice Address - Phone:914-965-1333
Practice Address - Fax:914-965-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYTRANSPORTATIONMedicaid