Provider Demographics
NPI:1457566788
Name:COOKING GOOD INCORPORATED
Entity Type:Organization
Organization Name:COOKING GOOD INCORPORATED
Other - Org Name:RAINBOW MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMBROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-321-6450
Mailing Address - Street 1:609 ROUTE 109
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-5000
Mailing Address - Country:US
Mailing Address - Phone:631-321-6450
Mailing Address - Fax:631-321-6458
Practice Address - Street 1:609 ROUTE 109
Practice Address - Street 2:SUITE 1B
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-5000
Practice Address - Country:US
Practice Address - Phone:631-321-6450
Practice Address - Fax:631-321-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02267018Medicaid