Provider Demographics
NPI:1013094838
Name:SUNRISE BUSSES, INC.
Entity Type:Organization
Organization Name:SUNRISE BUSSES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-477-1283
Mailing Address - Street 1:PO BOX 2050
Mailing Address - Street 2:
Mailing Address - City:GREENPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11944-0875
Mailing Address - Country:US
Mailing Address - Phone:631-477-1283
Mailing Address - Fax:631-477-2082
Practice Address - Street 1:74675 WEST FRONT ST
Practice Address - Street 2:
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-0875
Practice Address - Country:US
Practice Address - Phone:631-477-1283
Practice Address - Fax:631-477-2082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01110301347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus