Provider Demographics
NPI:1649781246
Name:PATCHOGUE TRANSPORTATION CORP.
Entity type:Organization
Organization Name:PATCHOGUE TRANSPORTATION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGLISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-654-2222
Mailing Address - Street 1:86 MEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-1233
Mailing Address - Country:US
Mailing Address - Phone:631-654-2222
Mailing Address - Fax:631-654-2221
Practice Address - Street 1:86 MEDFORD AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1233
Practice Address - Country:US
Practice Address - Phone:631-654-2222
Practice Address - Fax:631-654-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi