Provider Demographics
NPI:1134385602
Name:MOZART TRANSPORTATION CORP.
Entity type:Organization
Organization Name:MOZART TRANSPORTATION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-245-0312
Mailing Address - Street 1:2901 OCEAN PKWY
Mailing Address - Street 2:APT # C8
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-676-2350
Mailing Address - Fax:718-645-4827
Practice Address - Street 1:2901 OCEAN PKWY
Practice Address - Street 2:APT # C8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-676-2350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOZART TRANSPORTATION CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02913784Medicaid